Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | APN.22344 | SC |
NPI | 1104396910 |
---|---|
Provider Name | Morgan Hatfield |
First Address | N Charleston, SC 29420-4211 |
Second Address | N Charleston, SC 29420-4211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2018 |
Last Update Date | 05/12/2018 |