Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA NICOLE HATHCOCK, COTA
Active Sole ProprietorANDREA NICOLE HATHCOCK, COTA is a 224ZL0004X healthcare provider located in INDIAN TRAIL, North Carolina. NPI 1336731033 is currently active in the NPPES registry. Verify at CMS.
224ZL0004X · INDIAN TRAIL, NC
Registration Details
- NPI Number
- 1336731033
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 4, 2021 (5.5350705991842 yrs)
- Last Updated
- Feb 4, 2021
- License
-
11134
- Sole Proprietor
- Yes
Practice Information
- Address
-
3315 FAITH CHURCH RDINDIAN TRAIL, NC, 280799300Browse NC providers · Browse ZIP 28079
- Phone
- 7048823420
- Primary Specialty
-
224ZL0004X
224ZL0004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.