MEDICARE: DR. SEAN RICHARD HATFIELD PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835N0905X	Nuclear Pharmacist	17676	NC
2	1835N0905X	Nuclear Pharmacist	15269	AL
3	1835N0905X	Nuclear Pharmacist	RPH023139	GA
4	1835N0905X	Nuclear Pharmacist	11518	SC

General Provider Information

NPI Number	:	1073681748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEAN RICHARD HATFIELD PHARMD

Provider Business Mailing Address
First Line	:	1807 CARNATION DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8171
Country	:	US
Telephone Number	:	919-260-5887
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 CARNATION DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-8171
Country	:	US
Telephone Number	:	919-260-5887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	03/23/2010

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