Provider Demographics
NPI:1487689345
Name:HAWKS, ALDENE N (MD)
Entity Type:Individual
Prefix:
First Name:ALDENE
Middle Name:N
Last Name:HAWKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4510 PREMIER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8349
Mailing Address - Country:US
Mailing Address - Phone:336-878-6644
Mailing Address - Fax:336-878-6645
Practice Address - Street 1:4510 PREMIER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8349
Practice Address - Country:US
Practice Address - Phone:336-878-6644
Practice Address - Fax:336-878-6645
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2015-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC26008207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC080077146OtherRR MEDICARE
NC8940631Medicaid
NC080077146OtherRR MEDICARE
C84411Medicare UPIN