Provider Demographics
NPI:1730395856
Name:RIVERS, JOYCE HAWKINS (RDH,BHS)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:HAWKINS
Last Name:RIVERS
Suffix:
Gender:F
Credentials:RDH,BHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 OLD CHEROKEE RD
Mailing Address - Street 2:SUITE F, PMB 14
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9316
Mailing Address - Country:US
Mailing Address - Phone:803-808-2950
Mailing Address - Fax:803-808-5642
Practice Address - Street 1:308 GREEN OAKS RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649
Practice Address - Country:US
Practice Address - Phone:864-229-1171
Practice Address - Fax:864-223-0098
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1064124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist