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Individual

DAVID WAYNE HATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
720 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3030
(843) 249-8553
(843) 249-4794
Mailing address
720 MAIN ST, NORTH MYRTLE BEACH, SC 29582-3030

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3869
SC

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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