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Individual

BARNEY HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-5529
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 569-5529

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58-2108870
GA
Enumeration date
05/02/2016
Last updated
05/02/2016
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