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NPI Code Detail

MEDICARE: DR. KEVIN LADD HATCHER PHARMD

MEDICARE: DR. KEVIN LADD HATCHER 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
1183500000XPharmacistRPH025951GA

General Provider Information

NPI Number : 1750981114
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN LADD HATCHER PHARMD
Provider Business Mailing Address
First Line : 1515 AMBERWOOD CREEK DR NW
Second Line :
City : KENNESAW
State : GA
Zip : 30152-7705
Country : US
Telephone Number : 770-547-8289
Fax Number :
Provider Business Practice Location Address
First Line : 1550 RIVERSTONE PKWY
Second Line :
City : CANTON
State : GA
Zip : 30114-2918
Country : US
Telephone Number : 770-479-9003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2020
Last Update Date : 10/27/2020

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Directions to “ DR. KEVIN LADD HATCHER PHARMD” Practice Location

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