Individual
NATHANAEL L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 BRICKYARD RD, CHIPLEY, FL 32428-6303
(850) 638-1610
Mailing address
1400 OAK HARBOR RD, SOUTHPORT, FL 32409-5082
(850) 768-0161
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME105177
FL
207Q00000X
Family Medicine Physician
TRN12420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002733400
—
FL
01
—
149SJ
BCBS
FL
Enumeration date
05/15/2008
Last updated
02/03/2026
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