Provider Demographics
NPI:1417632514
Name:HAWKINS, CYNTHIA D (MT005449)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:D
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MT005449
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 OAK RD STE 140
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-2394
Mailing Address - Country:US
Mailing Address - Phone:770-978-8223
Mailing Address - Fax:
Practice Address - Street 1:2315 OAK RD STE 140
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2394
Practice Address - Country:US
Practice Address - Phone:770-978-8223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMT005449225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist