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Individual

DR. JAMES GRADY HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1601 S GILMER AVE, LANETT, AL 36863
(334) 644-2422
(334) 644-4575
Mailing address
1601 S GILMER AVE, PO BOX 549, LANETT, AL 36863
(334) 644-2422
(334) 644-4575

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3851
AL

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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