Basic Information
| Provider Information | |||||||||
| NPI: | 1922301746 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | FRANCIS A. HAWTHORN,D.P.M.,P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3901 CENTRAL PIKE | ||||||||
| Address2: | STE. 353 | ||||||||
| City: | HERMITAGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370763419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158892323 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3901 CENTRAL PIKE | ||||||||
| Address2: | STE. 353 | ||||||||
| City: | HERMITAGE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 370763419 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158892323 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2010 | ||||||||
| LastUpdateDate: | 12/16/2010 | ||||||||
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| AuthorizedOfficialLastName: | BIRCHETT | ||||||||
| AuthorizedOfficialFirstName: | CORA | ||||||||
| AuthorizedOfficialMiddleName: | CRISTINE | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6158892323 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 21300000X | TN | Y | 193400000X SINGLE SPECIALTY GROUP | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.