Provider Demographics
NPI:1295091817
Name:HAWA, DAVID JOEL (ARDMS OB/GYN,ABD,VAS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOEL
Last Name:HAWA
Suffix:
Gender:M
Credentials:ARDMS OB/GYN,ABD,VAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MILLEDGE DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-7851
Mailing Address - Country:US
Mailing Address - Phone:843-685-0991
Mailing Address - Fax:
Practice Address - Street 1:1608 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526
Practice Address - Country:US
Practice Address - Phone:843-488-6355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC348522471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography