Individual
BAILEY HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
784 BEECH GROVE LN, GALAX, VA 24333-2068
(276) 233-9841
Mailing address
784 BEECH GROVE LN, GALAX, VA 24333-2068
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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