ALFRED W. HATHORN JR., M.D. APMC
Organization (NPI-2)
Active
Pediatrics
Provider Information
- NPI Number
1487066296- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2120 BERT KOUN LOOP SUITE # L, SHREVEPORT, LA, 711183351
- Phone
- (318) 686-8197
- Fax
- (318) 688-5962
Specialties & Taxonomies
Nurse Practitioner, Acute Care
License: LA #ap06110
Pediatrics
Primary License: LA #011400