TRAVIS GRANT HATHORN MD
NPI 1720781180
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About Travis Grant Hathorn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS GRANT HATHORN MD (NPI 1720781180) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Travis Hathorn's NPI number?
The NPI number for Travis Hathorn is 1720781180. It was assigned to this individual provider in the NPPES registry on March 24, 2023.
Where is Travis Hathorn located?
Travis Hathorn practices at One Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-6410.
What is Travis Hathorn's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Travis Hathorn was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Travis Grant Hathorn, MD · NPI 1720781180
Student in an Organized Health Care Education/Training Program provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since March 24, 2023.
## Identity
- **NPI:** 1720781180 (Entity type: Individual)
- **Enumerated:** March 24, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** ONE MEDICAL CENTER BLVD, Winston Salem, NC 27157-0001
- **Phone:** (336) 716-6410
## Record status
- **NPPES last updated:** April 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1720781180) · Data from the CMS NPPES public registry.