Provider Demographics
NPI:1245259977
Name:HAWKINS, GUSSIE LOUVENIA (MD)
Entity type:Individual
Prefix:DR
First Name:GUSSIE
Middle Name:LOUVENIA
Last Name:HAWKINS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:6098 DEBRA RD
Mailing Address - Street 2:CHATTANOOGA VA OUTPATIENT CLINIC
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37411-5702
Mailing Address - Country:US
Mailing Address - Phone:423-893-6500
Mailing Address - Fax:423-893-6563
Practice Address - Street 1:6098 DEBRA RD
Practice Address - Street 2:CHATTANOOGA VA OUTPATIENT CLINIC
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37411-5702
Practice Address - Country:US
Practice Address - Phone:423-893-6500
Practice Address - Fax:423-893-6563
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-01-25
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Provider Licenses
StateLicense IDTaxonomies
TNMD017124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine