Individual
MARK EDWARD HATFIELD
Active
Individual
MARK EDWARD HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01036919A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088174
ANTHEM BCBS
IN
01
—
000000984928
ANTHEM PIN
IN
01
—
011275P
SIHO
IN
01
—
060020869
PALMETTA GBA RAILROAD MC
—
05
—
100343100
—
IN
01
—
64879604
KENTUCKY MEDICAID
KY
Enumeration date
11/07/2006
Last updated
09/06/2024
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