Individual
ANDREI HATARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BRUNSWICK MEDICAL CENTER PKWY NE, BOLIVIA, NC 28422-1001
(910) 253-9000
Mailing address
1851 MACGREGOR DOWNS RD, GREENVILLE, NC 27834-5925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
151143
NC
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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