Individual
DR. JARED STEPHEN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3340 POPLAR AVE, MEMPHIS, TN 38111-4692
(901) 454-1234
(901) 454-0606
Mailing address
1664 KIRBY PKWY., MEMPHIS, TN 38120
(574) 527-2283
(901) 454-0606
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
111N00000X
TN
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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