MEDICARE: DR. RICHARD JAMES HAWKINS M.D.

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	207X00000X	Orthopaedic Surgery Physician	26480	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	LL26480	OTHER	SC	M.D.

General Provider Information

NPI Number	:	1417953555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JAMES HAWKINS M.D.

Provider Business Mailing Address
First Line	:	1 INDEPENDENCE PT
Second Line	:	SUITE 212
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4545
Country	:	US
Telephone Number	:	864-797-6044
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 PATEWOOD DR
Second Line	:	SUITE C100
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3593
Country	:	US
Telephone Number	:	864-454-7422
Fax Number	:	864-454-8265

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	04/23/2013

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