Organization
HENDERSONVILLE EAR, NOSE & THROAT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY JAMES HAWK M.D. (PRESIDENT)
(828) 693-0706
Entity
Organization
Contact information
Practice address
512 PARK HILL CT, HENDERSONVILLE, NC 28739-4265
(828) 693-0706
(828) 693-5705
Mailing address
512 PARK HILL CT, HENDERSONVILLE, NC 28739-4265
(828) 693-0706
(828) 693-5705
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040008853
RAIL ROAD MEDICARE
NC
05
—
8901748
—
NC
Enumeration date
04/19/2006
Last updated
10/04/2011
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