Individual
THOMAS B. HAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
597 S ENOTA DR NE, GAINESVILLE, GA 30501-2545
(770) 538-7777
(770) 538-7778
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003336
GA
363AM0700X
Medical Physician Assistant
Primary
003336
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000913A
—
GA
05
—
100000913B
—
GA
Enumeration date
02/28/2006
Last updated
06/11/2021
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