Individual
JONATHAN ANDREW HATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 N CENTER ST, SUITE 102, HICKORY, NC 28601-5036
(828) 327-9178
(828) 304-0202
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007-00703
NC
2086S0129X
Vascular Surgery Physician
2007-00703
NC
2086X0206X
Surgical Oncology Physician
2007-00703
NC
Other
Enumeration date
05/10/2007
Last updated
09/19/2014
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