Bradley Farel Hathaway
Bradley Farel Hathaway is a Student in an Organized Health Care Education/Training Program in Greenville, Mississippi. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
167 Bayou RdGreenville, MS 38701-7732
Phone: (662) 820-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1003643412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 18, 2024 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 18, 2024 |
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