Individual
DR. DIANE E HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
510 CUMBERLAND STREET, EXECUTIVE PLAZA 4TH FLOOR, BRISTOL, VA 24201
(276) 645-4758
(276) 669-9093
Mailing address
510 CUMBERLAND STREET, EXECUTIVE PLAZA 4TH FLOOR, BRISTOL, VA 24201
(276) 645-4758
(276) 669-9093
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101052743
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180264
ANTHEM BCBS
VA
01
—
54097963217
JOHN DEERE
VA
Enumeration date
08/21/2006
Last updated
07/08/2007
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