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Individual

DR. SIMON HATIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1330 OAK LN, SUITE 100, LYNCHBURG, VA 24503-2513
(434) 384-0610
(434) 384-1074
Mailing address
1330 OAK LN, SUITE 100, LYNCHBURG, VA 24503-2513
(434) 384-0610
(434) 384-1074

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101232398
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006901948
VA
Enumeration date
07/09/2006
Last updated
06/12/2012
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