Individual
NICHOLAS ARTHUR HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, APRN
Contact information
Practice address
213 W 4TH ST N, SUMMERVILLE, SC 29483
(843) 873-0681
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 820-3397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24837
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7482
—
SC
Enumeration date
06/10/2020
Last updated
08/24/2021
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