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Individual

DR. RANDALL FLEMING HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2520 VALLEY DRIVE, SUITE 212, POINT PLEASANT, WV 25550-2031
(304) 675-7700
(304) 675-6510
Mailing address
2520 VALLEY DRIVE, SUITE 212, POINT PLEASANT, WV 25550-2031
(304) 675-7700
(304) 675-6510

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16211
WV
207R00000X
Internal Medicine Physician
69109
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0072981000
WV
05
0796714
OH
Enumeration date
08/07/2006
Last updated
07/08/2007
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