Provider Demographics
NPI:1417556846
Name:HAWKINS, BRITTNEY (APRN)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 WILSON HALL RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-1804
Mailing Address - Country:US
Mailing Address - Phone:803-905-3555
Mailing Address - Fax:803-905-3570
Practice Address - Street 1:1285 WILSON HALL RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-1804
Practice Address - Country:US
Practice Address - Phone:803-905-3555
Practice Address - Fax:803-905-3570
Is Sole Proprietor?:No
Enumeration Date:2020-10-17
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24164208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology