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Search › Mississippi › 1835P0018X

Mary Hathorn

NPI 1598304206 · on the registry since 2019 · sole proprietor

Practice

Address
107 Highway 80 E
Clinton, MS 39056
Phone
(601) 925-6343
Organisation at this address
Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Also registered as
3336C0003X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi