Samuel Gordon Hathcock, PA
NPI #1992375554 in Celebration, Florida
Provider Information
- NPI Number
- 1992375554
- Entity Type
- Individual
- Name
- Samuel Gordon Hathcock, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jun 28, 2021
- Last Updated
- Jan 16, 2024
Practice Location
- Address
- 410 CELEBRATION PL STE 300
- City
- Celebration
- State
- Florida
- ZIP Code
- 34747-5434
- Phone
- (407) 894-4474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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