Individual
GLADNEY HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 PHOENIX BLVD STE 128-12, ATLANTA, GA 30349-5593
(470) 730-6102
(470) 220-7500
Mailing address
PO BOX 471, UNION CITY, GA 30291-0471
(470) 730-6102
(470) 220-7500
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
163W00000X
Registered Nurse
Primary
203514
LA
163WC0400X
Case Management Registered Nurse
203514
LA
163WE0003X
Emergency Registered Nurse
203514
LA
163WH0200X
Home Health Registered Nurse
203514
LA
163WW0000X
Wound Care Registered Nurse
203514
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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