| NPI | 1043489495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RANDOLPH HAWKINS Dentist 256-546-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 3170) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |