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Individual

CHARLES BRIAN HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
Mailing address
1131 EAGLETREE LN SW, HUNTSVILLE, AL 35801-6491

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-064142
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
330000014
AL
Enumeration date
05/13/2026
Last updated
05/13/2026
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