Individual provider · Type 1 NPI
Tina L. Hathaway
Adult Health Nurse Practitioner · Statesboro, GA
NPI number
1023529914
Active
Practice location
114 Hill Pond Ln
Statesboro, GA 30458-0872
Fax (912) 681-8744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN165131 (GA) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1023529914
Tina L. Hathaway's National Provider Identifier is 1023529914, issued on Oct 18, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Statesboro, GA. The record was last updated on Feb 3, 2026.