Organization
J RANDOLPH HAWKINS DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RANDOLPH HAWKINS (OWNER)
(256) 593-2363
Entity
Organization
Contact information
Practice address
1163 SEAY AVE, BOAZ, AL 35957
(256) 593-2363
Mailing address
PO BOX 647, BOAZ, AL 35957
(256) 593-2363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3170
AL
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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