Provider Demographics
NPI:1083656458
Name:HAWKINS & HAWKINS, PA
Entity Type:Organization
Organization Name:HAWKINS & HAWKINS, PA
Other - Org Name:HAWKINS MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:BANSIDHAR
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:207-873-4325
Mailing Address - Street 1:25 FIRST PARK DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-5361
Mailing Address - Country:US
Mailing Address - Phone:207-873-4325
Mailing Address - Fax:207-873-4344
Practice Address - Street 1:25 FIRST PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-5361
Practice Address - Country:US
Practice Address - Phone:207-873-4325
Practice Address - Fax:207-873-4344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
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