Provider Demographics
NPI:1447249701
Name:HAWKINS, ALEXANDER RAMSAY (ATC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:RAMSAY
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ARABIAN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-9678
Mailing Address - Country:US
Mailing Address - Phone:843-571-3475
Mailing Address - Fax:
Practice Address - Street 1:2000 BAINBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-2607
Practice Address - Country:US
Practice Address - Phone:843-746-0808
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDHEC 0782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDHEC 078OtherLICENSED ATC