DR. WILLIAM G HATHAWAY, MD
Osteopathic Medicine at Ryan St, Lake Charles, LA

License number
Louisiana 202477
Category
Osteopathic Medicine
Type
Emergency Medicine
Address
Address 2
524 S Ryan St, Lake Charles, LA 70601
14050 NW 14Th St SUITE 190, Fort Lauderdale, FL 33323
Phone
(337) 491-7755
(800) 424-3672
(954) 377-3042 (Fax)
National Provider ID: 1154365120
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WILLIAM G HATHAWAY at bizstanding.com

WILLIAM G. HATHAWAY, III, MD, LLC

Lake Charles, LA

Registration:
Dec 20, 2002
Addresses:
1117 Inverness St, Lake Charles, LA 70605 (Physical)
C/O William G Hathaway, Lake Charles, LA 70611 (Mailing)
State ID:
35394120K
Business type:
Limited Liability Company
Member:
Md William G. Hathaway (Member), 1485 Tan Tara Cir, Lake Charles, LA 70611 (Physical)
Agent:
William G. Hathaway,1117 Inverness St, Lake Charles, LA 70605 (Physical)

WILLIAM G. HATHAWAY, III, A PROFESSIONAL MEDICAL CORPORATION

1117 Inverness, Lake Charles, LA 70605

Status:
Inactive
Registration:
Oct 21, 1993
State ID:
34446857D
Business type:
Business Corporation
Director:
William G. Hathaway, Iii, M.d (Director), 1117 Inverness, Lake Charles, LA 70605 (Physical)
Agent:
John R. Pohorelsky,1114 Ryan St, Lake Charles, LA 70601 (Physical)

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