Individual
MRS. LEONIA BUMGARDNER HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
377 CY SCHUMPERT RD, PROSPERITY, SC 29127-6788
(803) 364-2134
(803) 364-4395
Mailing address
PO BOX 718, NEWBERRY, SC 29108-0718
(803) 321-2620
(803) 321-1158
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
27874
SC
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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