MR. Reza John Hatefi, PAC
NPI #1114960036 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1114960036
- Entity Type
- Individual
- Name
- MR. Reza John Hatefi, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Feb 25, 2021
Practice Location
- Address
- 2001 S MAIN ST
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-1649
- Phone
- (919) 350-0365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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