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1023529914
TINA L. HATHAWAY
STATESBORO, GA
NPI
1023529914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: GA RN165131)
Enumeration Date
2017-10-18
Last Update Date
2022-07-21
Business Address
TINA L. HATHAWAY
114 HILL POND LN
STATESBORO, GA 30458-0872
Phone number: 912-681-6944
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Mailing Address
TINA L. HATHAWAY
114 HILL POND LN
STATESBORO, GA 30458-0872
Phone number: 912-681-6944
Copy
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