person
Tina L. Hathaway
Adult Health Nurse Practitioner in Statesboro, Georgia
NPI 1023529914

Tina L. Hathaway is an Adult Health Nurse Practitioner based in Statesboro, GA and is specialized in Adult Health. Tina L. Hathaway practices in Statesboro, GA. The NPI Number for Tina L. Hathaway is 1023529914 and holds a License No. RN165131 (Georgia).

The current practice location address for Tina L. Hathaway is 114 Hill Pond Ln, Statesboro, GA and can be reached out via phone at 912-681-6944 and via fax at 912-681-8744.

Location: 114 Hill Pond Ln, Statesboro, GA, 30458-0872
person
Provider Profile Details
NPI Number
1023529914
Provider Name
Tina L. Hathaway
Credential
Provider Entity Type
Individual
Gender
Female
Address
114 Hill Pond Ln, Statesboro, GA, 30458-0872
Phone Number
912-681-6944
Fax Number
912-681-8744
Provider Enumeration Date
10/18/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN165131 01 GA NURSING LICENSE
RN165131 01 GA NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
114 Hill Pond Ln
City
State
Zip
30458-0872
Phone Number
912-681-6944
Fax Number
912-681-8744
person
Provider Business Mailing Address Details
Address
114 Hill Pond Ln
City
State
Zip
30458-0872
Phone Number
912-681-6944
Fax Number
912-681-8744
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN165131 (Georgia)
Definition
Definition to come...
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