Healthcare Provider Details

I. General information

NPI: 1245498054
Provider Name (Legal Business Name): NATALIE HATCHER ROCHESTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE N HATCHER

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 KERNERSVILLE MEDICAL PKWY STE 104
KERNERSVILLE NC
27284-7198
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 336-765-5470
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number52565
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2022-01637
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: