Individual
DR. CHARLES LEE HATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
38TH STREET/BLDG 38717, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Mailing address
38TH STREET/BLDG 38717, USA DENTAC, FT GORDON, GA 30905-5660
(706) 787-6927
(706) 787-2082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6091
KY
122300000X
Dentist
7047
TN
1223P0700X
Prosthodontics
6091
KY
1223P0700X
Prosthodontics
Primary
7047
TN
Other
Enumeration date
09/25/2006
Last updated
09/11/2025
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