| Jodi Hawes Physician LLC | |
|
1795 Doctor Frank Gaston Blvd Rock Hill SC 29732-1190 | |
| (919) 536-8705 | |
| Not Available |
| Full Name | Jodi Hawes Physician LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1795 Doctor Frank Gaston Blvd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Jodi J Hawes (OWNER) |
| Authorized Official Contact | 9195368705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Hawes Physician LLC 2177 Lookout Rdg Rock Hill SC 29732-1338 Ph: (919) 536-8705 | Jodi Hawes Physician LLC 1795 Doctor Frank Gaston Blvd Rock Hill SC 29732-1190 Ph: (919) 536-8705 |
| NPI Number | 1235083445 |
|---|---|
| Provider Enumeration Date | 02/24/2026 |
| Last Update Date | 03/10/2026 |
| Certification Date | 03/10/2026 |
| Medicare PECOS PAC ID | 9739655051 |
|---|---|
| Medicare Enrollment ID | O20260415001454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235083445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | () | Primary |
| Provider Name | Jodi J Hawes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992975528 PECOS PAC ID: 9931230513 Enrollment ID: I20260415001552 |
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