Hawk, Thomas H

Hawk, Thomas H is an individual health care provider with primary practice located at 740 Prince Ave Building 8A, Athens GA 30606-5908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hawk, Thomas H can be contacted via phone (706) 353-1630.

Contact Information

Primary practice address
740 Prince Ave Building 8A Athens GA 30606-5908
Phone: (706) 353-1630
Fax: (706) 543-6825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 019390 Georgia

Profile Details

NPI number 1043363716
LBN Legal business name Hawk, Thomas H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Apr 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043363716 NPPES
Georgia Other 341986 WELLCARE
Georgia Other 408023018 WELLCARE
Georgia Other 52004391 WELLCARE
Georgia Other 10058985 WELLCARE
Georgia MEDICAID 000185039A WELLCARE
Georgia MEDICAID 000185039B WELLCARE

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