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Individual

SUSAN C HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
504 HOPKINSVILLE ST, GREENVILLE, KY 42345-1104
(270) 338-6488
(270) 338-7868
Mailing address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28810
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31000458
KY
Enumeration date
06/30/2006
Last updated
05/02/2017
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