Provider Demographics
NPI:1306382676
Name:HAWKINS, FRANKIE LEE (CPSS)
Entity Type:Individual
Prefix:MR
First Name:FRANKIE
Middle Name:LEE
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3550 MONTCLAIR ST APT 5
Mailing Address - Street 2:3550 MONTCLAIR APT 5
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-2162
Mailing Address - Country:US
Mailing Address - Phone:313-646-1873
Mailing Address - Fax:313-831-8787
Practice Address - Street 1:10 PETERBORO ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2722
Practice Address - Country:US
Practice Address - Phone:313-831-3160
Practice Address - Fax:313-831-8787
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist