MEDICARE: SARAH HAWKINS

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
1	363LF0000X	Family Nurse Practitioner	F06220095	GA
2	363LF0000X	Family Nurse Practitioner	RN259160	GA
3	163W00000X	Registered Nurse	RN259160	GA

General Provider Information

NPI Number	:	1194345843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH HAWKINS

Provider Business Mailing Address
First Line	:	1281 ELDERWOOD WAY
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30041-8966
Country	:	US
Telephone Number	:	678-274-2313
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 HOSPITAL PKWY STE 260
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-1829
Country	:	US
Telephone Number	:	770-454-4685
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	06/15/2022

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Directions to “ SARAH HAWKINS ” Practice Location

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