Provider Demographics
NPI:1588853998
Name:HAWKINS, AMY MILLARD (ND)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:MILLARD
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1414
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28480-1414
Mailing Address - Country:US
Mailing Address - Phone:910-367-5150
Mailing Address - Fax:910-795-1365
Practice Address - Street 1:206 CAUSEWAY DR. # 1414
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28480-1414
Practice Address - Country:US
Practice Address - Phone:910-367-5150
Practice Address - Fax:910-795-1365
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001584175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath