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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALFRED W. HATHORN JR., M.D. APMC

Active Organization

ALFRED W. HATHORN JR., M.D. APMC is a Pediatrics organization located in SHREVEPORT, Louisiana. NPI 1487066296 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · SHREVEPORT, LA

Registration Details

NPI Number
1487066296
Provider Type
Organization
NPI Issued
May 28, 2014 (12.170562550854 yrs)
Last Updated
May 28, 2014
Licenses
AP06110 (LA)
011400 (LA)

Practice Information

Address
2120 BERT KOUN LOOP
SUITE # L
SHREVEPORT, LA, 711183351
Browse LA providers · Browse ZIP 71118
Phone
3186868197
Fax
3186885962
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.