Individual
JIMMY L HAWKINS
Active
Individual
JIMMY L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38157
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3893863
—
TN
01
—
P00224239
RR MEDICARE PIN
TN
Enumeration date
06/15/2006
Last updated
03/09/2012
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