Organization
HIGHLAND RADIOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HAWKINS MD (PRESIDENT GROUP)
(866) 457-9896
Entity
Organization
Contact information
Practice address
111 HIGHWAY 70 E, DICKSON, TN 37055
(866) 457-9896
(706) 226-2283
Mailing address
PO BOX 6070, DALTON, GA 30720
(866) 457-9896
(706) 266-2283
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3721245
—
TN
01
—
CH7179
RAILROAD MEDICARE
TN
Enumeration date
08/15/2006
Last updated
04/20/2008
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