Doctor Name: | HARRIS E HAWK |
NPI Number: | 1114131588 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0116018302 |
Business Practice Address: | 975 E 3rd St Box 376 Chattanooga, TN - 374032147 |
Business Phone Number: | 4237787234 |
Business Fax Number: | 4237786811 |
Mailing Address: | 975 E 3rd St, Box 376 CHATTANOOGA |
State: | TN |
Postal Code: | 374032147 |
Phone Number: | 4237787234 |
Fax Number: | 4237786811 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 0116018302 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |