Individual
JOSEPH HATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(800) 639-2519
(985) 447-8556
Mailing address
PO BOX 12670, ALEXANDRIA, LA 71315-2670
(800) 639-2519
(985) 447-8556
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13632R
LA
207P00000X
Emergency Medicine Physician
Primary
M6179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1435279
—
LA
Enumeration date
07/07/2006
Last updated
03/11/2008
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