Individual
MARK DOUGLAS HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3221 W MAIN ST, CLAREMONT, NC 28610-9692
(828) 459-4445
(828) 459-4434
Mailing address
1701 WESTCHESTER DR, SUITE 850, HIGH POINT, NC 27262-7008
(336) 802-2536
(336) 802-2534
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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