Provider Demographics
NPI:1871175356
Name:HAWLANI, REEM (NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:REEM
Middle Name:
Last Name:HAWLANI
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11655 DUNHILL PLACE DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30005-7240
Mailing Address - Country:US
Mailing Address - Phone:404-643-6857
Mailing Address - Fax:
Practice Address - Street 1:11655 DUNHILL PLACE DR
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30005-7240
Practice Address - Country:US
Practice Address - Phone:404-643-6857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-24
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3391347