Individual
MEREDITH HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4805 MONTGOMERY RD STE 210, CINCINNATI, OH 45212-2280
(513) 241-2370
Mailing address
4805 MONTGOMERY RD STE 150, CINCINNATI, OH 45212-2280
(513) 961-5558
(513) 961-1912
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.00633RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392403
—
OH
05
—
300038379
—
IN
Enumeration date
05/03/2013
Last updated
11/15/2024
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