Organization
HAWKINS PHYSICIAN SERVICES, PLLC
Active
Other names
Lung and Sleep Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LATA SHAH MD (PHYSICIAN)
(423) 293-3711
Entity
Organization
Contact information
Practice address
1112 E MAIN ST, ROGERSVILLE, TN 37857-2808
(423) 293-3711
(423) 293-3900
Mailing address
1112 E MAIN ST, ROGERSVILLE, TN 37857-2808
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
41496
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3828513
—
TN
05
—
Q024218
—
TN
Enumeration date
07/20/2016
Last updated
03/10/2023
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