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Mallori Wisuri Hathaway, PA-C
Physician Assistant in Scottsburg, Indiana
NPI 1861019689

Mallori Wisuri Hathaway is a Physician Assistant based in Manitowoc, IN. Mallori Wisuri Hathaway practices in Scottsburg, IN and has the professional credentials of PA-C. The NPI Number for Mallori Wisuri Hathaway is 1861019689 and holds a License No. 10003222A (Indiana).

The current practice location address for Mallori Wisuri Hathaway is 1428 N Gardner St, Scottsburg, IN and can be reached out via phone at 812-752-3512 and via fax at 812-752-8593. You can also correspond with Mallori Wisuri Hathaway through the mailing address at 801 YORK ST, MANITOWOC, WI - 54220-4630 (mailing address contact number: 920-663-9008).

Location: 1428 N Gardner St, Scottsburg, IN, 54220-4630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861019689
Provider Name
Mallori Wisuri Hathaway
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1428 N Gardner St, Scottsburg, IN, 54220-4630
Phone Number
812-752-3512
Fax Number
812-752-8593
Provider Enumeration Date
06/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1428 N Gardner St
City
Scottsburg
State
Indiana
Zip
47170-8720
Phone Number
812-752-3512
Fax Number
812-752-8593
person
Provider Business Mailing Address Details
Address
801 York St
City
Manitowoc
State
Wisconsin
Zip
54220-4630
Phone Number
920-663-9008
Fax Number
920-684-1439
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10003222A (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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