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Individual
GEORGE W. HATLEY
Active
Individual
GEORGE W. HATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
102589
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
102589
NC
Other
Enumeration date
10/15/2006
Last updated
07/15/2024
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