MEDICARE: MR. WILLIAM HAWKINS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	0010-01777	NC

General Provider Information

NPI Number	:	1649411505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM HAWKINS PA-C

Provider Business Mailing Address
First Line	:	30 LAFOY DR
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27527-6620
Country	:	US
Telephone Number	:	919-995-4023
Fax Number	:

Provider Business Practice Location Address
First Line	:	4414 LAKE BOONE TRL STE 405
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-7520
Country	:	US
Telephone Number	:	919-876-8225
Fax Number	:	919-876-3371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	02/21/2025

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