Provider Demographics
NPI:1669198115
Name:HAWKINS, ERICA LINSEY (MS, RD)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:LINSEY
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:LINSEY
Other - Last Name:BECHTOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD
Mailing Address - Street 1:3703 WOODLAKE RD
Mailing Address - Street 2:
Mailing Address - City:HEPHZIBAH
Mailing Address - State:GA
Mailing Address - Zip Code:30815-6527
Mailing Address - Country:US
Mailing Address - Phone:806-513-9903
Mailing Address - Fax:
Practice Address - Street 1:950 15TH ST
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2608
Practice Address - Country:US
Practice Address - Phone:806-513-9903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered