Hawkins, Theron E

Hawkins, Theron E is an individual health care provider with primary practice located at 1240 Jesse Jewell Pkwy Se Suite 500, Gainesville GA 30501-3862. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Hawkins, Theron E can be contacted via phone (770) 536-9864.

Contact Information

Primary practice address
1240 Jesse Jewell Pkwy Se Suite 500 Gainesville GA 30501-3862
Phone: (770) 536-9864
Fax: (770) 297-5012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN101168 Georgia

Profile Details

NPI number 1699817098
LBN Legal business name Hawkins, Theron E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated May 19th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699817098 NPPES
Georgia Other 473153 WELLCARE
Georgia MEDICAID 000885475F WELLCARE
Georgia Other 01240267 WELLCARE

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