Individual
ANTONIO ANTWAN HAWTHORNE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5839
(662) 448-3232
(662) 490-3723
Mailing address
7300 AIRWAYS BLVD, SOUTHAVEN, MS 38671-5839
(662) 448-3232
(662) 490-3723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MS
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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