Provider Demographics
NPI:1730152307
Name:HAWKINS, CAMILLE PATRICE (PA-C)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:PATRICE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:CAMILLE
Other - Middle Name:PATRICE
Other - Last Name:SKERRITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-0400
Mailing Address - Country:US
Mailing Address - Phone:410-507-9775
Mailing Address - Fax:
Practice Address - Street 1:COMANDANT (CG-1122) USCG
Practice Address - Street 2:2100 2ND STREET SW, SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:202-267-6070
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA002326L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant