Provider Demographics
NPI:1619945698
Name:HAWKINSON, MURRAY GREY (LP)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:GREY
Last Name:HAWKINSON
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:284 EXECUTIVE PARK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1833
Mailing Address - Country:US
Mailing Address - Phone:704-939-1100
Mailing Address - Fax:704-939-1173
Practice Address - Street 1:132 POPLAR GROVE CONNECTOR STE B
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5915
Practice Address - Country:US
Practice Address - Phone:828-264-8759
Practice Address - Fax:828-264-5860
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1855103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC03715OtherBCBS OF NC
NC03715OtherBCBS
NC104353OtherUNITED BEHAVIORAL HEALTH
NC96112OtherMEDCOST
NC787273-000OtherMAGELLAN
NC2814515COtherMEDICARE PTAN
NC6000733Medicaid