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Individual

GREGORY P HAWKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 BURLINGTON RD, JACKSON, OH 45640-9360
(740) 395-8393
(740) 395-8592
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 395-8393
(740) 395-8592

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35050401
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000261559
ANTHEM (BLUE CROSS)
OH
05
2027069
OH
01
310917085306
CARESOURCE
OH
05
3810014399
WV
01
4038720
AETNA
OH
Enumeration date
07/10/2006
Last updated
08/07/2014
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