| Doctor Name: | WANDA CAWTHON |
| NPI Number: | 1356374334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNCS |
| License Number: | RN072630 |
| Business Practice Address: | 77 W Gibson St Hartwell, GA - 306431845 |
| Business Phone Number: | 7068566973 |
| Business Fax Number: | 7068566976 |
| Mailing Address: | 77 W Gibson St, HARTWELL |
| State: | GA |
| Postal Code: | 306431845 |
| Phone Number: | 7068566973 |
| Fax Number: | 7068566976 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN072630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |