Individual
WILLIAM HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
791 JONESTOWN RD, WINSTON SALEM, NC 27103-1252
(336) 716-5652
Mailing address
4037 NW 86TH TER RM 3113, GAINESVILLE, FL 32606-9277
(352) 294-4945
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2021-02695
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2019
Last updated
05/11/2023
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