Doctor Name: | DR. DAVID PAUL HAWK |
NPI Number: | 1265484059 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | DPM562 |
Business Practice Address: | 125 Town Creek Rd E Suite 3 Lenoir City, TN - 377725612 |
Business Phone Number: | 8659862700 |
Business Fax Number: | 8659868096 |
Mailing Address: | 125 Town Creek Rd E, Suite 3 LENOIR CITY |
State: | TN |
Postal Code: | 377725612 |
Phone Number: | 8659862700 |
Fax Number: | 8659868096 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | DPM562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |