Individual
JOHN KENNETH HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, PHD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-5641
(706) 721-9744
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 30912-0001
(706) 721-7913
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
18399
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
RN246877
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158978F
—
GA
Enumeration date
02/15/2006
Last updated
04/13/2023
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