Individual
MS. MARY MOTLEY HATCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP
Contact information
Practice address
10926 DAVID TAYLOR DR STE 120S, CHARLOTTE, NC 28262-1293
(336) 706-6614
(336) 450-1846
Mailing address
10926 DAVID TAYLOR DR STE SUITE120, CHARLOTTE, NC 28262-1293
(336) 706-6614
(336) 450-1846
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
600053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096526
NURSING
NC
01
—
600053
MEDICAL BOARD
NC
05
—
7000151
—
NC
Enumeration date
11/08/2005
Last updated
04/08/2020
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