# HAWKINS PHYSICIAN SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lung and Sleep Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437502960
- **Authorized official:** LATA SHAH MD (PHYSICIAN)
- **Authorized official phone:** (423) 293-3711

## Contact information

- **Practice address:** 1112 E MAIN ST, ROGERSVILLE, TN 37857-2808
- **Practice address phone:** (423) 293-3711
- **Practice address fax:** (423) 293-3900
- **Mailing address:** 1112 E MAIN ST, ROGERSVILLE, TN 37857-2808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 41496 | TN | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 07/20/2016
- **Last updated:** 03/10/2023