Individual
ERNEST LAYNE HAWKINS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 DURALEIGH RD, RALEIGH, NC 27612-4189
(919) 571-1123
Mailing address
1636 FORESTVILLE RD, WAKE FOREST, NC 27587-9362
(919) 332-9737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7012
NC
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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