Individual
ALEXIS IRENE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 BOWHILL CT, IRMO, SC 29063-9307
(803) 876-5968
Mailing address
114 BOWHILL CT, IRMO, SC 29063-9307
(803) 876-5968
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
SC
Other
Enumeration date
08/07/2021
Last updated
08/07/2021
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