Individual
DR. MICHAEL LEWIS HAWKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1201 INDUSTRIAL PARK RD, SOUTH FULTON, TN 38257-2700
(731) 479-3445
(731) 479-3447
Mailing address
1201 INDUSTRIAL PARK RD, SOUTH FULTON, TN 38257-2700
(731) 479-3445
(731) 479-3447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5276
TN
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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