Individual
CHRYSANTHE ALYSSA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 WHITAKER RIDGE DR, WINSTON SALEM, NC 27106-4966
(336) 718-8000
(336) 718-8011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-8000
(336) 718-8011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2024-01375
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
10/25/2024
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