Individual
DR. STEPHEN SCOTT HATHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-7111
(662) 257-6775
Mailing address
1105 EARL FRYE BLVD, AMORY, MS 38821-5500
(662) 256-7111
(662) 257-6775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18079
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05183339
—
MS
Enumeration date
09/05/2006
Last updated
02/13/2014
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