Provider Demographics
NPI:1144203779
Name:HAWKINS, THOMAS A (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:A
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2400 BELLEVUE RD STE 18
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2898
Mailing Address - Country:US
Mailing Address - Phone:478-272-5933
Mailing Address - Fax:478-272-4350
Practice Address - Street 1:2400 BELLEVUE RD STE 18
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021
Practice Address - Country:US
Practice Address - Phone:478-272-5933
Practice Address - Fax:478-272-4350
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200374207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89131JTMedicaid
NCH63781Medicare UPIN
NC2002248Medicare ID - Type Unspecified