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Individual

DORI HIATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3121 MORGAN COUNTY HIGHWAY, WARTBURG, TN 37887-3818
(423) 346-5862
(423) 717-5565
Mailing address
3121 MORGAN COUNTY HIGHWAY, WARTBURG, TN 37887-3818
(423) 346-5862
(423) 717-5565

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000052005
TN

Other

Enumeration date
10/23/2019
Last updated
10/23/2019
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