Provider Demographics
NPI:1700322773
Name:HATCH, JOSHUA (APA-C)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:HATCH
Suffix:
Gender:M
Credentials:APA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6177 WALKING STICK WAY
Mailing Address - Street 2:
Mailing Address - City:FORT MOORE
Mailing Address - State:GA
Mailing Address - Zip Code:31905-7903
Mailing Address - Country:US
Mailing Address - Phone:912-596-5451
Mailing Address - Fax:
Practice Address - Street 1:10700 HOURGLASS RD
Practice Address - Street 2:
Practice Address - City:FORT MOORE
Practice Address - State:GA
Practice Address - Zip Code:31905-4136
Practice Address - Country:US
Practice Address - Phone:706-544-2602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant