Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 38979 | SC |
Y | 207U00000X | Nuclear Medicine Specialist | 38979 | SC |
N | 208D00000X | General Practice Physician | 38979 | SC |
NPI | 1316265515 |
---|---|
Provider Name | Dr. Lachin Hatemi |
First Address | Lexington, SC 29072-2611 |
Second Address | Lexington, SC 29072-2611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 09/12/2021 |