Provider Demographics
NPI:1326084765
Name:HAWKINS, MICHAEL DARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DARREN
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 HWY 70 E
Mailing Address - Street 2:SUITE H
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2080
Mailing Address - Country:US
Mailing Address - Phone:615-446-4400
Mailing Address - Fax:615-446-4234
Practice Address - Street 1:111 HWY 70 E
Practice Address - Street 2:SUITE H
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2080
Practice Address - Country:US
Practice Address - Phone:615-446-4400
Practice Address - Fax:615-446-4234
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000026802207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4012796OtherBLUE CROSS BLUE SHIELD
TN3094200Medicaid
G09696Medicare UPIN
TN4012796OtherBLUE CROSS BLUE SHIELD