Individual
MR. MARK ALLAN HATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 752-1550
Mailing address
506 HOLLY AVE, LOGAN, WV 25601-3306
(304) 752-1550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
49860
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011807
—
WV
Enumeration date
06/10/2008
Last updated
06/10/2008
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