| J Randolph Hawkins Dmd Pa | |
|
1163 Seay Ave Boaz AL 35957 | |
| (256) 593-2363 | |
| Not Available |
| Full Name | J Randolph Hawkins Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1163 Seay Ave, Boaz, Alabama |
| Authorized Official Name and Position | John Randolph Hawkins (OWNER) |
| Authorized Official Contact | 2565932363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Randolph Hawkins Dmd Pa Po Box 647 Boaz AL 35957 Ph: (256) 593-2363 | J Randolph Hawkins Dmd Pa 1163 Seay Ave Boaz AL 35957 Ph: (256) 593-2363 |
| NPI Number | 1639341134 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639341134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3170 (Alabama) | Primary |
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