Randy S. Hathorn D.m.d
NPI #1528242351 in Bassfield, Mississippi
Provider Information
- NPI Number
- 1528242351
- Entity Type
- Organization
- Organization Name
- Randy S. Hathorn D.m.d
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 28, 2007
- Last Updated
- Dec 28, 2007
Practice Location
- Address
- 218 GEN ROBERT E BLOUNT
- Address 2
- A
- City
- Bassfield
- State
- Mississippi
- ZIP Code
- 39421-0549
- Phone
- (601) 943-5126
Authorized Official
- Name
- RANDY S HATHORN, D.M.D.
- Title
- OWNER
- Phone
- (601) 943-5126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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