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Individual

GEORGE JOHN HATSIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 SUMMIT CROSSING PL, SUITE 106, GASTONIA, NC 28054-2176
(704) 867-8021
(704) 864-4606
Mailing address
839 MAJESTIC CT STE 4, GASTONIA, NC 28054-5152
(704) 867-8021
(704) 867-8021

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
200000450
NC
2085R0202X
Diagnostic Radiology Physician
Primary
200000450
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
126PJ
BLUE CROSS BLUE SHIELD
01
1643192
UNITED HEALTHCARE
01
2353084
AETNA HMO
01
300110410
RAILROAD MEDICARE
01
37296
PARTNERS
01
7837131
AETNA PPO
05
89126PJ
NC
01
98467
MEDCOST
05
N00452
SC
Enumeration date
11/25/2005
Last updated
06/01/2023
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