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Individual

MARY LINDA HAWES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0200
(252) 443-0096
Mailing address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0200
(252) 443-0096

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25860
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110095565
RAILROAD MEDICARE
NC
01
25112
MEDCOST
NC
01
3084745
CIGNA HEALTHCARE
NC
01
40558
BCBSNC
NC
05
8940558
NC
Enumeration date
09/08/2005
Last updated
08/27/2007
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