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Individual

DAVID HATTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
792 RUSSELL DR, RIVERDALE, GA 30296-1299
(734) 666-8353
Mailing address
8055 BAMBY LN, JONESBORO, GA 30236-3309
(734) 666-8353

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5259414
FL

Other

Enumeration date
07/14/2023
Last updated
07/14/2023
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