Most Relevant Information
Provider Data
| NPI Number: | 1003572041 |
| Provider Name: | REBECCA HADDAD PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/15/2021 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
128 RAYMOND HIRSCH PKWY
WHITE HOUSE
TN
371888193
Practice Location Phone/Fax
| Phone: | 7156723027 |
| Fax: |
Provider Mailing Location
112 FORREST VALLEY CT
NASHVILLE
TN
372095212
Provider Mailing Phone/Fax
| Phone: | 4128413114 |
| Fax: |