Individual
GRIFFIN HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
831 DONAGHEY AVE, CONWAY, AR 72034-5143
(501) 358-6016
Mailing address
831 DONAGHEY AVE, CONWAY, AR 72034-5143
(501) 358-6016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 624
AR
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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