Individual
ROBERTA J HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
649 N NEW HOPE RD, GASTONIA, NC 28054-7424
(704) 866-4005
(704) 866-0450
Mailing address
1072 XRAY DR, GASTONIA, NC 28054
(704) 671-1094
(704) 671-1095
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us