Organization
SAWNEE MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN DONOVAN HAWKINS PMDC (OWNER)
(770) 543-9432
Entity
Organization
Contact information
Practice address
135 ENTERPRISE DR, SUITE H, CUMMING, GA 30040-1607
(678) 807-7980
(678) 807-2848
Mailing address
135 ENTERPRISE DR, SUITE H, CUMMING, GA 30040-1607
(678) 807-7980
(678) 807-2848
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AMB2016015
GA
343800000X
Secured Medical Transport (VAN)
AMB2016015
GA
343900000X
Non-emergency Medical Transport (VAN)
AMB2016015
GA
Other
Enumeration date
10/03/2016
Last updated
01/02/2017
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