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NPI Code Detail

MEDICARE: MR. FRANKIE LEE HAWKINS CPSS

MEDICARE: MR. FRANKIE LEE HAWKINS CPSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistMI

General Provider Information

NPI Number : 1306382676
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANKIE LEE HAWKINS CPSS
Provider Business Mailing Address
First Line : 3550 MONTCLAIR ST APT 5
Second Line : 3550 MONTCLAIR APT 5
City : DETROIT
State : MI
Zip : 48214-2162
Country : US
Telephone Number : 313-646-1873
Fax Number : 313-831-8787
Provider Business Practice Location Address
First Line : 10 PETERBORO ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2722
Country : US
Telephone Number : 313-831-3160
Fax Number : 313-831-8787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2017
Last Update Date : 01/11/2017

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