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NPI Code Detail

MEDICARE: DR. WILLIAM G HATHAWAY III MD

MEDICARE:  DR. WILLIAM G HATHAWAY III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician202477LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154365120
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM G HATHAWAY III MD
Provider Business Mailing Address
First Line : 401 11TH ST NE
Second Line :
City : SPRINGHILL
State : LA
Zip : 71075-4503
Country : US
Telephone Number : 318-539-1701
Fax Number : 318-539-1737
Provider Business Practice Location Address
First Line : 401 11TH ST NE
Second Line :
City : SPRINGHILL
State : LA
Zip : 71075-4503
Country : US
Telephone Number : 318-539-1701
Fax Number : 318-539-1737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 10/16/2025

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Directions to “ DR. WILLIAM G HATHAWAY III MD” Practice Location

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