Individual
JIMMY L HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 FORT SANDERS WEST BLVD, SUITE 304, KNOXVILLE, TN 37922-3357
(865) 531-8848
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
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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