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Individual

MR. JAMES EDWARD HATCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
1900 EXETER RD, SUITE 210, GERMANTOWN, TN 38138-2954
(901) 818-2183
(901) 682-9522
Mailing address
465 N WILLETT ST, MEMPHIS, TN 38112-5121
(901) 722-5246
(901) 682-9522

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 91970
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN 9809
TN
367500000X
Certified Registered Nurse Anesthetist
ARNP9257125
FL
367500000X
Certified Registered Nurse Anesthetist
C10187
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009941624
AL
05
07089871
MS
05
1505216
TN
05
154144701
AR
05
308254700
FL
01
3128100
BLUE CROSS
TN
01
59191503
BCBS OF ALABAMA
AL
01
5T744
BLUE CROSS AR PROV #
AR
01
G4214
BCBS OF FLORIDA
FL
Enumeration date
09/02/2005
Last updated
06/09/2011
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