Individual
OLIVIA DEESE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 SUMMER PLACE DR N, MOBILE, AL 36618-3247
(251) 461-0786
Mailing address
6200 SUMMER PLACE DR N, MOBILE, AL 36618-3247
(251) 490-7378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07210819
AL
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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