Individual
SHANNON HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IJCAHPO ID # 134443
Contact information
Practice address
400 W PEACHTREE ST NW UNIT 712, ATLANTA, GA 30308-3545
(770) 367-7174
Mailing address
400 W PEACHTREE ST NW UNIT 712, ATLANTA, GA 30308-3545
(770) 367-7174
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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