Provider Demographics
NPI:1306342613
Name:HAWKES, OLLETTE FELICIA (RN)
Entity type:Individual
Prefix:
First Name:OLLETTE
Middle Name:FELICIA
Last Name:HAWKES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:133 STERLING WOODS DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-4343
Mailing Address - Country:US
Mailing Address - Phone:912-484-2290
Mailing Address - Fax:912-445-5048
Practice Address - Street 1:8505 CRESTHILL AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-6115
Practice Address - Country:US
Practice Address - Phone:912-484-4100
Practice Address - Fax:912-445-5048
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN153160163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse