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NPI Code Detail

MEDICARE: DR. PRESTON P HAWKINS M.D.

MEDICARE: DR. PRESTON P HAWKINS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP2900XPain Medicine (Anesthesiology) Physician023169GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598715591
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRESTON P HAWKINS M.D.
Provider Business Mailing Address
First Line : PO BOX 740
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-0019
Country : US
Telephone Number : 770-228-8550
Fax Number : 678-815-0908
Provider Business Practice Location Address
First Line : 601 S 8TH ST
Second Line :
City : GRIFFIN
State : GA
Zip : 30224-4213
Country : US
Telephone Number : 770-228-8550
Fax Number : 678-815-0908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 12/11/2008

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