Individual
WANDA HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3355 LENOX RD NE STE 750, ATLANTA, GA 30326-1353
(678) 851-7278
Mailing address
3301 N CAMP CREEK PKWY SW, ATLANTA, GA 30331-3125
(678) 851-7278
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WC1500X
Community Health Registered Nurse
Primary
RN12551
GA
Other
Enumeration date
04/09/2016
Last updated
04/09/2016
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