Individual
MARY LYNN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1106 ANNAPOLIS RD STE 310, ODENTON, MD 21113-1744
(410) 874-1400
Mailing address
1106 ANNAPOLIS RD STE 310, ODENTON, MD 21113-1744
(410) 874-1400
(410) 367-2202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C10003960
DE
207Q00000X
Family Medicine Physician
Primary
D84546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000486301
—
DE
Enumeration date
12/02/2005
Last updated
03/20/2018
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