Provider Demographics
NPI:1679199723
Name:HAWKINS, ALITHA LANNETTE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:ALITHA
Middle Name:LANNETTE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 CARTER FISH POND RD
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:GA
Mailing Address - Zip Code:31780-5420
Mailing Address - Country:US
Mailing Address - Phone:229-591-2775
Mailing Address - Fax:800-399-0952
Practice Address - Street 1:415 TRIPP ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709
Practice Address - Country:US
Practice Address - Phone:800-399-0952
Practice Address - Fax:800-399-0952
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN072258164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse