Individual
MICHAEL BRIAN HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ACI, ATC, LAT
Contact information
Practice address
60 SHILOH RD, GREENEVILLE, TN 37745-0595
(423) 636-7317
(423) 636-7404
Mailing address
6395 SNAPPS FERRY RD, AFTON, TN 37616-4821
(423) 329-5618
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 0000001008
TN
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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