MS. Diane C Hatch, PA-C

NPI #1629045307 in Holly Hill, Florida

Provider Information

NPI Number: 1629045307
Entity Type: Individual
Name: MS. Diane C Hatch, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 2, 2006
Last Updated: Mar 30, 2021

Practice Location

Address: 1340 RIDGEWOOD AVE
City: Holly Hill
State: Florida
ZIP Code: 32117-2320
Phone: (386) 676-7172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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