Provider Demographics
NPI:1831213487
Name:DAWKINS, MONIQUE FRANCHELLE
Entity type:Individual
Prefix:MISS
First Name:MONIQUE
Middle Name:FRANCHELLE
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 1:89 DRY LOG AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTREE
Mailing Address - State:SC
Mailing Address - Zip Code:29556-3057
Mailing Address - Country:US
Mailing Address - Phone:803-664-3294
Mailing Address - Fax:843-629-7266
Practice Address - Street 1:89 DRY LOG AVE.
Practice Address - Street 2:
Practice Address - City:KINGSTREE
Practice Address - State:SC
Practice Address - Zip Code:29556-3057
Practice Address - Country:US
Practice Address - Phone:803-664-3294
Practice Address - Fax:843-629-7266
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant