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Alfred W. Hathorn Jr., M.d. Apmc
Acute Care Nurse Practitioner in Shreveport, Louisiana
NPI 1487066296

Alfred W. Hathorn Jr., M.d. Apmc is an Acute Care Nurse Practitioner based in Shreveport, LA and is specialized in Acute Care. Alfred W. Hathorn Jr., M.d. Apmc practices in Shreveport, LA. The NPI Number for Alfred W. Hathorn Jr., M.d. Apmc is 1487066296 and holds a License No. 011400 (Louisiana).

The current practice location address for Alfred W. Hathorn Jr., M.d. Apmc is 2120 Bert Koun Loop, Shreveport, LA and can be reached out via phone at 318-686-8197 and via fax at 318-688-5962.

Location: 2120 Bert Koun Loop, Shreveport, LA, 71118-3351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487066296
Provider Name
Alfred W. Hathorn Jr., M.d. Apmc
Credential
Provider Entity Type
Organization
Address
2120 Bert Koun Loop, Shreveport, LA, 71118-3351
Phone Number
318-686-8197
Fax Number
318-688-5962
Provider Enumeration Date
05/28/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1135127 05 LA
2315889 05 LA
institution
Provider Business Practice Location Address Details
Address
2120 Bert Koun Loop
City
Shreveport
State
Louisiana
Zip
71118-3351
Phone Number
318-686-8197
Fax Number
318-688-5962
person
Provider Business Mailing Address Details
Address
2120 Bert Koun Loop
City
Shreveport
State
Louisiana
Zip
71118-3351
Phone Number
318-686-8197
Fax Number
318-688-5962
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
AP06110 (Louisiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
011400 (Louisiana)
Definition
Definition to come...
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