SearchGeorgia363AM0700X

Henry Hathaway, PA-C

NPI 1770672651 · on the registry since 2006 · sole proprietor

Practice

Address
7950 Marne Loop
Martin Army Community Hospital
Ft Benning, GA 31905
Phone
(706) 544-3102
Fax
(706) 544-2144

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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 Georgia