Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 0401412198 | VA |
Y | 213EG0000X | General Practice | 0401412198 | VA |
NPI | 1003078122 |
---|---|
Provider Name | Dr. Steven D Hatch |
First Address | Lynchburg, VA 24502-2608 |
Second Address | Lynchburg, VA 24502-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 30/06/2008 |