Individual
SHAN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(210) 219-7081
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
09/11/2023
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