Theron E Hawkins in Gainesville - Nurse Practitioner
Theron E Hawkins - NPI 1699817098
Theron E Hawkins is a Nurse Practitioner in Gainesville, Georgia. Theron E Hawkins practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Theron E Hawkins is 1699817098. The last update date is 2009-05-19.
Theron E Hawkins's current location address is 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can contact this provider via phone number 7705369864 and fax number 7702975012. The mailing address for Theron E Hawkins is 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theron E Hawkins |
|---|---|
| Address | 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Phone Number | 7705369864 |
| Fax Number | 7702975012 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1699817098 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2009-05-19 |
Provider Mailing Address Detail
| Address | 1240 Jesse Jewell Pkwy Se |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 305013862 |
| Phone Number | 7705369864 |
| Fax Number | 7702975012 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN101168 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 473153 | GA | WELLCARE | |
| 000885475F | GA | -- | |
| 1240267 | GA | AMERIGROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Theron E Hawkins by the Centers for Medicare & Medicaid Services?
The Theron E Hawkins has been assigned the NPI (National Provider Identifier) 1699817098. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Theron E Hawkins's physical address?
The Theron E Hawkins is physically located at 1240 Jesse Jewell Pkwy Se, in the city of Gainesville, GA, with the postal code 305013862.
What is the Theron E Hawkins's specialty and taxonomy code?
The Theron E Hawkins's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Theron E Hawkins receive its 1699817098 assignment from the Centers for Medicare & Medicaid Services?
The Theron E Hawkins was assigned its 1699817098 by the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the information regarding Theron E Hawkins, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Theron E Hawkins, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-05-19.