| Nicholas Arthur Hathaway, FNP, APRN | |
|
213 W 4th St N, Summerville, SC 29483 | |
| (843) 873-0681 | |
| Not Available |
| Full Name | Nicholas Arthur Hathaway |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 213 W 4th St N, Summerville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003431511 | NPI | - | NPPES |
| NP7482 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24837 (South Carolina) | Primary |
| Entity Name | Palmetto Primary Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
| Entity Name | Tri-county Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659661544 PECOS PAC ID: 1658540505 Enrollment ID: O20110810000001 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160125000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Arthur Hathaway, FNP, APRN Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 820-3397 | Nicholas Arthur Hathaway, FNP, APRN 213 W 4th St N, Summerville, SC 29483 Ph: (843) 873-0681 |
Marie Davis Rataj, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 92 Springview Lane, South Carolina Sleep Medicine, Summerville, SC 29485 Phone: 843-871-4006 Fax: 843-871-4074 | |
Mrs. Caroline M Yerich, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 809 N Cedar St, Summerville, SC 29483 Phone: 843-871-9440 Fax: 843-871-5932 | |
Kristina M Dibartolo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 90 Springview Ln # A, Summerville, SC 29485 Phone: 843-832-9113 Fax: 843-832-9114 | |
Jody Kay Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 89 Old Trolley Rd Ste 200, Summerville, SC 29485 Phone: 737-226-6740 | |
Katherine Ellis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2016 1st Ave, Summerville, SC 29486 Phone: 843-432-3109 | |
Norma June Taveras, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 N Cedar St Ste 100, Summerville, SC 29483 Phone: 843-821-2480 |