MEDICARE: DR. DAVID PAUL HAWK DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	DPM562	TN

General Provider Information

NPI Number	:	1265484059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID PAUL HAWK DPM

Provider Business Mailing Address
First Line	:	125 TOWN CREEK RD E
Second Line	:	SUITE 3
City	:	LENOIR CITY
State	:	TN
Zip	:	37772-5612
Country	:	US
Telephone Number	:	865-986-2700
Fax Number	:	865-986-8096

Provider Business Practice Location Address
First Line	:	125 TOWN CREEK RD E
Second Line	:	SUITE 3
City	:	LENOIR CITY
State	:	TN
Zip	:	37772-5612
Country	:	US
Telephone Number	:	865-986-2700
Fax Number	:	865-986-8096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/16/2020

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