Provider Demographics
NPI:1720245301
Name:HAWKINS, CHRISTOPHER HEATH MEYERS (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HEATH MEYERS
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P.O. BOX 409879
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384
Mailing Address - Country:US
Mailing Address - Phone:615-261-6000
Mailing Address - Fax:615-261-6052
Practice Address - Street 1:5651 FRIST BLVD.
Practice Address - Street 2:STE 616
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076
Practice Address - Country:US
Practice Address - Phone:615-391-4394
Practice Address - Fax:615-391-0284
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01060844A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01060844AOtherLICENSE