Individual
THOMAS BRADLEY HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 WAGNER RD, WILLOW SPRING, NC 27592-7613
(910) 639-2067
Mailing address
291 WAGNER RD, WILLOW SPRING, NC 27592-7613
(910) 639-2067
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
4277
NC
Other
Enumeration date
07/04/2011
Last updated
07/04/2011
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