Individual
KAREN G HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
403 PRINCETON RD, STE. 1, JOHNSON CITY, TN 37601-2056
(423) 283-9913
Mailing address
3101 BROWNS MILL RD. #6, PMB#386, JOHNSON CITY, TN 37604
(423) 854-0001
(423) 854-0002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17643
TN
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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