Individual
DR. SAMUEL GREGORY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1823 SOMERVILLE RD SE, DECATUR, AL 35601-5015
(256) 355-2275
(256) 301-1240
Mailing address
1815 SOMERVILLE SERD, DECATUR, AL 35601-5015
(256) 353-5600
(256) 351-8006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4231
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000091741
—
AL
01
—
51091741
BCBS OF AL
AL
Enumeration date
08/08/2006
Last updated
11/19/2015
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