Provider Demographics
NPI:1790858454
Name:HATCHER, PAUL ARTHUR SR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ARTHUR
Last Name:HATCHER
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1932 ALCOA HWY
Mailing Address - Street 2:STE C475
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1523
Mailing Address - Country:US
Mailing Address - Phone:865-305-5000
Mailing Address - Fax:865-305-5001
Practice Address - Street 1:1932 ALCOA HWY
Practice Address - Street 2:SUITE 475 BUILDING C
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1523
Practice Address - Country:US
Practice Address - Phone:865-305-5000
Practice Address - Fax:865-305-5001
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN021449208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3060898Medicaid
TN3159503OtherBLUE CROSS BLUE SHIELD
TN4331093OtherAETNA PPO
TN3159503OtherBLUE CROSS BLUE SHIELD
TN4331093OtherAETNA PPO