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NPI 1487066296

OrganizationActive

Alfred W. Hathorn Jr., M.D. Apmc

NPI 1487066296 · Pediatrics Physician · Shreveport, LA

Provider details

NPI number: 1487066296
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Authorized official: Ruth Hathorn, Office Manager
License: AP06110 (LA)

Practice location

2120 Bert Koun Loop

Suite # L

Shreveport, LA 71118-3351

Phone: (318) 686-8197

Fax: (318) 688-5962

More LA providers

Mailing address

2120 Bert Koun Loop

Shreveport, LA 71118-3351

Registry dates

Enumerated: 2014-05-28
Last updated: 2014-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alfred W. Hathorn Jr., M.D. Apmc — NPI 1487066296, Shreveport, LA | NPI Central