Provider Demographics
NPI:1659093201
Name:HAWKINS, TYRON'E BRIANNA (DC)
Entity Type:Individual
Prefix:DR
First Name:TYRON'E
Middle Name:BRIANNA
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 FOREST DR STE C
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-3156
Mailing Address - Country:US
Mailing Address - Phone:803-274-6290
Mailing Address - Fax:
Practice Address - Street 1:4710 FOREST DR STE C
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-3156
Practice Address - Country:US
Practice Address - Phone:803-274-6290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor