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Individual
MARK DOUGLAS HAWKINS
Active
Individual
MARK DOUGLAS HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
96-01628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013T
BLUE CROSS BLUE SHIELD
NC
01
—
69824
MEDCOST
NC
05
—
891013T
—
NC
Enumeration date
02/05/2007
Last updated
01/30/2014
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