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Dr. Thomas Carleton Hathaway IV, M. D.

Student in an Organized Health Care Education/Training Program in Pensacola, FL. Individual provider (NPI-1).

NPI number1396973723
StatusActive
Last updated in NPPESJun 24, 2009

Details

NPI
1396973723
Entity type
Individual (NPI-1)
Name
Dr. Thomas Carleton Hathaway IV
Credential
M. D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2009
Last updated
Jun 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

6000 W Highway 98
Pensacola, FL 32512-0002

Phone 850-505-6601

Mailing address

Po Box 4913
Pensacola, FL 32507-0913

Phone 850-332-8224

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