Provider Demographics
NPI:1942685326
Name:HAWES, RISHAUNDA (MEDICAL ASSISTANT)
Entity Type:Individual
Prefix:MISS
First Name:RISHAUNDA
Middle Name:
Last Name:HAWES
Suffix:
Gender:F
Credentials:MEDICAL ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W HOSPITAL RD
Mailing Address - Street 2:INTERDISCIPLINARY PAIN MANAGEMENT CENTER
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5741
Mailing Address - Country:US
Mailing Address - Phone:706-787-8266
Mailing Address - Fax:706-787-0196
Practice Address - Street 1:300 W HOSPITAL RD
Practice Address - Street 2:INTERDISCIPLINARY PAIN MANAGEMENT CENTER
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5741
Practice Address - Country:US
Practice Address - Phone:706-787-8266
Practice Address - Fax:706-787-0196
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide