Organization
MARANATHA SPRINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W HATCHER MD (MD / PRESIDENT)
(330) 478-2186
Entity
Organization
Contact information
Practice address
2866 WHIPPLE AVE NW, CANTON, OH 44708
(330) 478-2186
(330) 478-2330
Mailing address
2866 WHIPPLE AVE NW, CANTON, OH 44708
(330) 478-2186
(330) 478-2330
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
OH062098
OH
208D00000X
General Practice Physician
Primary
OH062098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0863909
—
OH
Enumeration date
06/02/2010
Last updated
06/02/2010
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