Provider Demographics
NPI:1043292618
Name:HAWKEY, THOMAS E (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:HAWKEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BARNETTE DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-8004
Mailing Address - Country:US
Mailing Address - Phone:803-773-5442
Mailing Address - Fax:803-778-2394
Practice Address - Street 1:12 BARNETTE DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-8004
Practice Address - Country:US
Practice Address - Phone:803-773-5442
Practice Address - Fax:803-778-2394
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0309207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC110011804OtherRAILROAD MCR
SCTL0914Medicaid
SC110011804OtherRAILROAD MCR
SCF05079Medicare UPIN