Individual
HENRY K. HATHAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7950 MARNE LOOP, MARTIN ARMY COMMUNITY HOSPITAL, FT BENNING, GA 31905
(706) 544-3102
(706) 544-2144
Mailing address
5005 W TIMBALIER CT, COLUMBUS, GA 31907-1772
(706) 221-0191
(706) 544-2144
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA004495
GA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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