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NPI Code Detail

MEDICARE: JEFFREY A. HATCHER, MD, PC

MEDICARE: JEFFREY A. HATCHER, MD, PC
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
1207V00000XObstetrics & Gynecology Physician

General Provider Information

NPI Number : 1336258581
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFREY A. HATCHER, MD, PC
Provider Business Mailing Address
First Line : PO BOX 68952
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-0952
Country : US
Telephone Number : 317-802-3154
Fax Number : 317-870-0499
Provider Business Practice Location Address
First Line : 718 N LINCOLN ST
Second Line : SUITE #C
City : GREENSBURG
State : IN
Zip : 47240-1348
Country : US
Telephone Number : 812-662-8253
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JEFFREY A HATCHER
Credential : MD
Telephone Number : 812-662-8253
Provider Enumeration Date : 08/30/2006
Last Update Date : 10/18/2007

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