Individual
SANFORD REGINALD HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 228-2000
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44229
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047533015A
—
GA
Enumeration date
03/15/2007
Last updated
07/08/2007
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