Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 0101264901 | VA |
NPI | 1306126297 |
---|---|
Provider Name | Dr. Melody Noles Hawkins |
First Address | Fairfax, VA 22031-4330 |
Second Address | Fairfax, VA 22031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2011 |
Last Update Date | 12/03/2019 |