Most Relevant Information
Provider Data
| NPI Number: | 1003173741 |
| Provider Name: | CHRISTOPHER DEMARCUS HAWKINS I.D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 1710I1002X |
| Specialty: | Military Health Care Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2012 |
| Last Updated: | 12/06/2022 |
Provider Practice Location
47149 BUSE RD BLDG 1370
PATUXENT RIVER
MD
206701540
Practice Location Phone/Fax
| Phone: | 3013421444 |
| Fax: |
Provider Mailing Location
47149 BUSE RD BLDG 1370
PATUXENT RIVER
MD
206701540
Provider Mailing Phone/Fax
| Phone: | 3013421444 |
| Fax: |