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NPI Code Detail

MEDICARE: KRISTIN HAWKES M.D.

MEDICARE:   KRISTIN  HAWKES  M.D.
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
1207R00000XInternal Medicine Physician4301090704MI
2207R00000XInternal Medicine Physician2011-01328NC
3208000000XPediatrics Physician4301090704MI
4208000000XPediatrics Physician2011-01328NC

General Provider Information

NPI Number : 1275720112
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN HAWKES M.D.
Provider Business Mailing Address
First Line : 102 MEDICAL DR
Second Line : MARTIN FAMILY MEDICINE
City : WILLIAMSTON
State : NC
Zip : 27892-2156
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 MEDICAL DR
Second Line : MARTIN FAMILY MEDICINE
City : WILLIAMSTON
State : NC
Zip : 27892-2156
Country : US
Telephone Number : 252-809-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2007
Last Update Date : 06/11/2014

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Directions to “ KRISTIN HAWKES M.D.” Practice Location

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