Provider Demographics
NPI:1508146283
Name:HAWKINS, DONALD GARY (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:GARY
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 1:1020 WAKE ROBIN
Mailing Address - Street 2:
Mailing Address - City:ECLECTIC
Mailing Address - State:AL
Mailing Address - Zip Code:36024-9302
Mailing Address - Country:US
Mailing Address - Phone:334-857-3123
Mailing Address - Fax:334-857-3123
Practice Address - Street 1:1020 WAKE ROBIN
Practice Address - Street 2:
Practice Address - City:ECLECTIC
Practice Address - State:AL
Practice Address - Zip Code:36024-9302
Practice Address - Country:US
Practice Address - Phone:334-857-3123
Practice Address - Fax:334-857-3123
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6342174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist