Provider Demographics
NPI:1407010671
Name:HAWKS ASSOCIATED
Entity Type:Organization
Organization Name:HAWKS ASSOCIATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMSUNG
Authorized Official - Middle Name:L
Authorized Official - Last Name:HAWKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-488-0761
Mailing Address - Street 1:318 BARON BLVD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2486
Mailing Address - Country:US
Mailing Address - Phone:757-488-0761
Mailing Address - Fax:
Practice Address - Street 1:318 BARON BLVD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-2486
Practice Address - Country:US
Practice Address - Phone:757-488-0761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare