Provider Demographics
NPI:1245734813
Name:HAWTHORNE, HARRY SINGLETON III (MD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:SINGLETON
Last Name:HAWTHORNE
Suffix:III
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-8280
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:3510 MAGNOLIA CV STE 170
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-2370
Practice Address - Country:US
Practice Address - Phone:318-966-8280
Practice Address - Fax:318-966-8281
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA326875208M00000X, 207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program