Individual provider · Type 1 NPI

Iliana Diaz Hawkins, CSA

Surgical Physician Assistant · Kennesaw, GA

NPI number 1962722041 Active

Practice location

3450 Acworth Due West Rd NW, Bldg 200 Ste 220
Kennesaw, GA 30144-1001

Fax (770) 794-6683

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1962722041

Iliana Diaz Hawkins, CSA's National Provider Identifier is 1962722041, issued on Jun 10, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 2, 2021.