Doctor Name: | MRS. LEONIA BUMGARDNER HAWKINS |
NPI Number: | 1811334154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 27874 |
Business Practice Address: | 377 Cy Schumpert Rd Prosperity, SC - 291276788 |
Business Phone Number: | 8033642134 |
Business Fax Number: | 8033644395 |
Mailing Address: | Po Box 718, NEWBERRY |
State: | SC |
Postal Code: | 291080718 |
Phone Number: | 8033212620 |
Fax Number: | 8033211158 |
NPI Enumeration Date: | 05/28/2013 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 27874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |