Most Relevant Information
Provider Data
| NPI Number: | 1003431511 |
| Provider Name: | NICHOLAS ARTHUR HATHAWAY FNP, APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 24837 |
Most Important Dates
| Enumeration Date: | 06/10/2020 |
| Last Updated: | 08/24/2021 |
Provider Practice Location
213 W 4TH ST N
SUMMERVILLE
SC
29483
Practice Location Phone/Fax
| Phone: | 8438730681 |
| Fax: |
Provider Mailing Location
PO BOX 530062
ATLANTA
GA
303530062
Provider Mailing Phone/Fax
| Phone: | 8438203397 |
| Fax: |