Individual
ROBERTA J HAWK
Active
Individual
ROBERTA J HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
201802113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011761
BLUE CROSS
—
01
—
2018-02113
NC MEDICAL LICENSE
NC
01
—
260015882003
EBMS
—
01
—
NN4199A
NC MEDICARE
NC
Enumeration date
08/17/2006
Last updated
06/23/2020
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