Individual
ERIC HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 E RAVINE RD, KINGSPORT, TN 37660-3814
(423) 245-9600
Mailing address
615 LAKE FOREST LN APT H3, NORTON SHORES, MI 49441-4733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019-01678
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2016
Last updated
03/16/2021
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