Alfred W. Hathorn JR. M.D.

NPI 1851393029 - Specialist - 174400000X

NPI Details
NPI 1851393029
Gender Male
Enumeration Date 06/01/2005
Last Updated 05/28/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2120 BERT KOUNS LOOP
STE L
SHREVEPORT LA, 71118-3355, US
Phone (318) 686-8197
Fax (318) 688-5962
Business Location
2120 BERT KOUNS LOOP
STE L
SHREVEPORT LA, 71118-3355, US
Phone (318) 686-8197
Fax (318) 688-5962
Toxanomy
Taxonomy Code 174400000X
License State Louisiana
License Number 011400
Remove 1851393029 NPI Number
 

According to our database, Alfred W. Hathorn JR. M.D. NPI is 1851393029, taxonomy code is 174400000X and license number is 011400, license state is located at Louisiana. Alfred W. Hathorn JR. M.D. physically located at 2120 Bert Kouns Loop, Shreveport LA, 71118-3355. NPI Number Alfred W. Hathorn JR. M.D. has the Individual type.

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1851393029 NPI number is provided on an as is basis without warranty of any kind. 1851393029 is maintained by the National Plan & Provider Enumeration System. The contents of Alfred W. Hathorn JR. M.D. are for informational purposes only.