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NPI Code Detail

MEDICARE: DR. TYRON'E BRIANNA HAWKINS DC

MEDICARE:  DR. TYRON'E BRIANNA HAWKINS  DC
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
1111N00000XChiropractor4845SC

General Provider Information

NPI Number : 1659093201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TYRON'E BRIANNA HAWKINS DC
Provider Business Mailing Address
First Line : 4710 FOREST DR STE C
Second Line :
City : COLUMBIA
State : SC
Zip : 29206-3156
Country : US
Telephone Number : 803-274-6290
Fax Number :
Provider Business Practice Location Address
First Line : 4710 FOREST DR STE C
Second Line :
City : COLUMBIA
State : SC
Zip : 29206-3156
Country : US
Telephone Number : 803-274-6290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2022
Last Update Date : 09/12/2022

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Directions to “ DR. TYRON'E BRIANNA HAWKINS DC” Practice Location

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