Basic Information
| Provider Information | |||||||||
| NPI: | 1427235050 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAWKINS | ||||||||
| FirstName: | KRISTINA | ||||||||
| MiddleName: | CROSS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4075 ELNORA DR | ||||||||
| Address2: | |||||||||
| City: | MACON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 312101822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4787577888 | ||||||||
| FaxNumber: | 4787577887 | ||||||||
| Practice Location | |||||||||
| Address1: | 4075 ELNORA DR | ||||||||
| Address2: | |||||||||
| City: | MACON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 312101822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4787577888 | ||||||||
| FaxNumber: | 4787577887 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2008 | ||||||||
| LastUpdateDate: | 09/25/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207VE0102X | 066184 | GA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Reproductive Endocrinology | 207V00000X | 066184 | GA | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.