Individual
DR. ANNA ELIZABETH HATIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
Mailing address
5735 MEEKER RD, GREENVILLE, OH 45331-1180
(937) 548-9680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8899
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000615915
BCBS
OH
01
—
1770795973
INDIVIDUAL NPI NO
OH
01
—
753047296029
CARESOURCE
OH
Enumeration date
05/03/2007
Last updated
03/13/2012
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