David Hatter
Licensed Practical Nurse in Riverdale, GA. Individual provider (NPI-1).
NPI number1457030652
StatusActive
Last updated in NPPESJul 14, 2023
Details
- NPI
- 1457030652
- Entity type
- Individual (NPI-1)
- Name
- David Hatter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2023
- Certification date
- Jul 14, 2023
- Last updated
- Jul 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN5259414 | FL | Yes |
Practice location
792 Russell DrRiverdale, GA 30296-1299
Phone 734-666-8353
Mailing address
8055 Bamby LnJonesboro, GA 30236-3309
Phone 734-666-8353
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Licensed Practical Nurse providers in Riverdale · All 1,059 providers in Riverdale
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