Individual
JESSICA MARIE HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5133 RIVERS AVE, NORTH CHARLESTON, SC 29406-6338
(843) 789-1800
(843) 606-8036
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4554
SC
363A00000X
Physician Assistant
5601010465
MI
Other
Enumeration date
06/24/2021
Last updated
12/27/2022
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