IndividualActive
Bradley Hathaway
NPI 1003643412 · Student in an Organized Health Care Education/Training Program · Greenville, MS
Provider details
- NPI number
- 1003643412
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
167 Bayou Rd
Greenville, MS 38701-7732
Phone: (662) 820-3939
Approximate (ZIP-level) locationGet directions
Mailing address
167 Bayou Rd
Greenville, MS 38701-7732
Registry dates
- Enumerated
- 2024-09-18
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.