Individual
DR. CHARLES E HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-6115
(229) 889-0506
Mailing address
1010 N MADISON ST, ALBANY, GA 31701-1902
(229) 889-1001
(229) 889-0506
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30088
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00373788A
—
GA
01
—
238474
BC BS NUMBER
GA
01
—
HAW301
COMMERCIAL NUMBER
GA
Enumeration date
03/30/2007
Last updated
12/05/2007
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