Individual
MR. MICHAEL ROBERT HAWKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2375 W BROAD ST STE G, ATHENS, GA 30606-3453
(065) 676-1517
Mailing address
2375 W BROAD ST STE G, ATHENS, GA 30606-3453
(678) 313-0300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11423
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15803003
CAQH NUMBER
—
Enumeration date
11/17/2022
Last updated
10/17/2025
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