Provider Demographics
NPI:1568470003
Name:HAWSEY, LAURA C (NP)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:C
Last Name:HAWSEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:CABANISS
Other - Last Name:HAWSEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 935722
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-5722
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:
Practice Address - Street 1:1655 BERNARDIN AVE STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2044
Practice Address - Country:US
Practice Address - Phone:803-409-7170
Practice Address - Fax:803-409-7175
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2962363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP1088Medicaid
SC2962OtherSC LICENSE
SC2962OtherSC LICENSE