Search › Indiana › 363A00000X
Mallori Hathaway, PA-C
NPI 1861019689 · on the registry since 2020
Practice
- Address
- 1428 N Gardner St
Scottsburg, IN 47170 - Phone
- (812) 752-3512
- Fax
- (812) 752-8593
- Organisation at this address
- Forefront Dermatology, S.C.
Family Medical Associates P C
Gill Medical And Geriatrics Associates LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 2130 W Sycamore St Ste 200, Kokomo, IN
- 244 Westwood Blvd, Columbus, IN
- 303 S Walnut St, Seymour, IN
- 415 S Landmark Ave, Bloomington, IN
- 1263 Hospital Dr Nw Ste 100, Corydon, IN
- 911 N Shelby St, Salem, IN
- 505 W Homer St Ste 201, Salem, IN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana