Healthcare Provider Details

I. General information

NPI: 1831753888
Provider Name (Legal Business Name): WILLIAM CARLSON HAWKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2019
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 VALLEY CENTER DR
STAUNTON VA
24401-5080
US

IV. Provider business mailing address

103 VALLEY CENTER DR
STAUNTON VA
24401-5080
US

V. Phone/Fax

Practice location:
  • Phone: 540-332-8000
  • Fax: 540-332-8438
Mailing address:
  • Phone: 540-332-8000
  • Fax: 540-332-8438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD478896
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101047118
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: