| NPI | 1265975510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L HATCHER Owner/Doctor 336-383-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 7439) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2021-11-15 |