Individual
DR. JO LYNN HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(407) 975-0406
Mailing address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(407) 975-0406
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME136644
FL
207VX0000X
Obstetrics Physician
10272A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144663337
GROUP NPI
AK
01
—
1548342298
NPI
TN
Enumeration date
10/20/2006
Last updated
02/08/2023
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