Provider Demographics
NPI:1215098454
Name:HADLEY, PHILLIP EARL SR (MD)
Entity type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:EARL
Last Name:HADLEY
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2785 LAWRENCEVILLE HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-2515
Mailing Address - Country:US
Mailing Address - Phone:404-292-1144
Mailing Address - Fax:404-292-3388
Practice Address - Street 1:2675 N DECATUR RD
Practice Address - Street 2:SUITE 707
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6131
Practice Address - Country:US
Practice Address - Phone:404-292-1144
Practice Address - Fax:404-292-3388
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2016-06-15
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Provider Licenses
StateLicense IDTaxonomies
GA020111207V00000X
FL026123207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology