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Organization
HAWKINS PHYSICIAN SERVICES, PLLC
Active
Organization
HAWKINS PHYSICIAN SERVICES, PLLC
Active
Other names
Lung and Sleep Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LATA SHAH MD (PHYSICIAN)
(423) 293-3711
Entity
Organization
Contact information
Practice address
1112 E MAIN ST, ROGERSVILLE, TN 37857-2808
(423) 293-3711
(423) 293-3900
Mailing address
1112 E MAIN ST, ROGERSVILLE, TN 37857-2808
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
41496
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
07/20/2016
Last updated
03/10/2023
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