Provider Demographics
NPI:1821829912
Name:DAWKINS, SYQUIRIA
Entity type:Individual
Prefix:
First Name:SYQUIRIA
Middle Name:
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2552 HARLLEES BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HAMER
Mailing Address - State:SC
Mailing Address - Zip Code:29547-7203
Mailing Address - Country:US
Mailing Address - Phone:704-975-2513
Mailing Address - Fax:
Practice Address - Street 1:2552 HARLLEES BRIDGE RD
Practice Address - Street 2:
Practice Address - City:HAMER
Practice Address - State:SC
Practice Address - Zip Code:29547-7203
Practice Address - Country:US
Practice Address - Phone:704-975-2513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management