| Hawkins Family Medicine, Pllc | |
|
491a Craft St Holly Springs MS 38635-3251 | |
| (662) 252-6416 | |
| (662) 252-3355 |
| Full Name | Hawkins Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 491a Craft St, Holly Springs, Mississippi |
| Authorized Official Name and Position | Cassandra Hawkins (OWNER) |
| Authorized Official Contact | 9018481697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawkins Family Medicine, Pllc 491a Craft St Holly Springs MS 38635-3251 Ph: (662) 252-6416 | Hawkins Family Medicine, Pllc 491a Craft St Holly Springs MS 38635-3251 Ph: (662) 252-6416 |
| NPI Number | 1659993129 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 05/07/2020 |
| Medicare PECOS PAC ID | 2264855410 |
|---|---|
| Medicare Enrollment ID | O20200707003216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659993129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Cassandra Hawkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982609004 PECOS PAC ID: 3274520820 Enrollment ID: I20040427000847 |
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