Provider Demographics
NPI:1588074447
Name:HAWKINS, GABRIELLE M (MD)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:M
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 SIVLEY RD SW STE 620
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5102
Mailing Address - Country:US
Mailing Address - Phone:256-265-4600
Mailing Address - Fax:256-265-4651
Practice Address - Street 1:201 SIVLEY RD SW STE 620
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5102
Practice Address - Country:US
Practice Address - Phone:256-265-4600
Practice Address - Fax:256-265-4651
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201197390200000X
LA342117207VG0400X
AL42960207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology