Organization Name: | HAWKINS FAMILY MEDICINE, PLLC |
NPI Number: | 1013030519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CASSANDRA HAWKINS (OWNER) |
Mailing Address: | 491a Craft St Holly Springs |
State: | MS US |
Postal Code: | 386353251 |
Phone Number: | 6622526416 |
Fax Number: | 6622523355 |
NPI Enumeration Date: | 04/09/2007 |
NPI Last Update Date: | 06/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |