Individual
RANDY S HATHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
218 A GEN ROBERT E BLOUNT DR, BASSFIELD, MS 39421-0549
(601) 943-5426
(601) 943-6143
Mailing address
PO BOX 549, BASSFIELD, MS 39421-0549
(601) 943-5126
(601) 943-6143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016 83
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060050
—
MS
Enumeration date
08/31/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us