Provider Demographics
NPI:1487018792
Name:R. S. HAWKINS ANESTHESIOLOGY, LLC
Entity Type:Organization
Organization Name:R. S. HAWKINS ANESTHESIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICKARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:770-241-1129
Mailing Address - Street 1:670 BRIARLEIGH WAY
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-6783
Mailing Address - Country:US
Mailing Address - Phone:770-241-1129
Mailing Address - Fax:844-231-5771
Practice Address - Street 1:670 BRIARLEIGH WAY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-6783
Practice Address - Country:US
Practice Address - Phone:770-241-1129
Practice Address - Fax:844-231-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA040920207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty