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NPI Code Detail

MEDICARE: MEGAN HATLEY MPAS PA-C

MEDICARE: MEGAN HATLEY MPAS PA-C
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
1363A00000XPhysician Assistant4448TN
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1730658055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN HATLEY MPAS PA-C
Provider Business Mailing Address
First Line : 107 GLIDEPATH WAY
Second Line :
City : LEBANON
State : TN
Zip : 37090-4133
Country : US
Telephone Number : 615-449-5740
Fax Number : 615-449-5740
Provider Business Practice Location Address
First Line : 100 SPRINGHOUSE CT STE 100
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-1610
Country : US
Telephone Number : 615-449-5771
Fax Number : 615-449-5740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2018
Last Update Date : 01/29/2026

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Directions to “ MEGAN HATLEY MPAS PA-C” Practice Location

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