Organization Name: | JAMES M HAWK, M.D.,P.A. |
NPI Number: | 1295933224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY LYNN GREENLEE (OFFICE MANAGER) |
Mailing Address: | 303 W Newman Ave Harrison |
State: | AR US |
Postal Code: | 726015839 |
Phone Number: | 8707414295 |
Fax Number: | 8707416569 |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E2493 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |