Provider Demographics
NPI:1649565789
Name:HAWKINS, MARY ANNE T (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARY ANNE
Middle Name:T
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1401 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6495
Mailing Address - Country:US
Mailing Address - Phone:770-240-0006
Mailing Address - Fax:770-240-0006
Practice Address - Street 1:1401 JOHNSON FERRY RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6495
Practice Address - Country:US
Practice Address - Phone:770-240-0006
Practice Address - Fax:770-240-0006
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022267183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist