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Individual

ALDENE N HAWKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4510 PREMIER DR, SUITE 102, HIGH POINT, NC 27265-8349
(336) 878-6644
(336) 878-6645
Mailing address
4510 PREMIER DR, SUITE 102, HIGH POINT, NC 27265-8349
(336) 878-6644
(336) 878-6645

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26008
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080077146
RR MEDICARE
NC
05
8940631
NC
Enumeration date
07/11/2006
Last updated
02/18/2015
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