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Organization

MARTHA NAN HAWKES PHP

Active
Other names
The Medical Psychology Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTHA NAN HAWKES PHD (NEUROPSYCHOLOGIST)
(901) 751-3571
Entity
Organization

Contact information

Practice address
7655 POPLAR AVE, SUITE 365, GERMANTOWN, TN 38138-3957
(901) 751-3571
(901) 751-3572
Mailing address
7655 POPLAR AVE, SUITE 365, GERMANTOWN, TN 38138-3957
(901) 751-3571
(901) 751-3572

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
P0000001132
TN

Other

Enumeration date
11/03/2005
Last updated
08/22/2020
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