Organization
MICHAEL C. HATTAWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C. HATTAWAY (DENTIST)
(919) 775-2522
Entity
Organization
Contact information
Practice address
1127 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 775-2522
(919) 774-5639
Mailing address
1127 CARTHAGE ST, SANFORD, NC 27330-4162
(919) 775-2522
(919) 774-5639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4849
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023743
UNITED CONCORDIA
NC
05
—
8993707
—
NC
01
—
93707
BCBS NC
NC
Enumeration date
06/07/2007
Last updated
08/22/2020
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