Provider Demographics
NPI:1528557931
Name:HAWLEY, SCOTT ALAN MATTHEW (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ALAN MATTHEW
Last Name:HAWLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 LYNOAK CV
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-2800
Mailing Address - Country:US
Mailing Address - Phone:731-668-3399
Mailing Address - Fax:731-668-4795
Practice Address - Street 1:30 LYNOAK CV
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-2800
Practice Address - Country:US
Practice Address - Phone:731-668-3399
Practice Address - Fax:731-668-4795
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-02
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor