Individual
MS. CARRIE L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 COOK RD STE 215, ORANGEBURG, SC 29118-8201
(808) 395-3837
(803) 536-5122
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 395-2237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1667
SC
363A00000X
Physician Assistant
APPLIED FOR
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4401
—
SC
Enumeration date
08/15/2011
Last updated
08/15/2016
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