Provider Demographics
NPI:1144249004
Name:HATCHER, EUGENE PAUL (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:PAUL
Last Name:HATCHER
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:713 LAZYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601
Mailing Address - Country:US
Mailing Address - Phone:423-282-2903
Mailing Address - Fax:
Practice Address - Street 1:LAMONT ST
Practice Address - Street 2:JAMES H QUILLEN VAMC
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-926-1171
Practice Address - Fax:423-926-1171
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant