Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD036609 | DC |
N | 111NI0900X | Internist | MD036609 | DC |
Y | 207RR0500X | Rheumatology | 2010-00331 | NC |
NPI | 1124206388 |
---|---|
Provider Name | Dr. Angela Hawkes |
First Address | Greensboro, NC 27410-9700 |
Second Address | Greensboro, NC 27410-9700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2008 |
Last Update Date | 03/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15720 | BCBSNC (01) | NC |
5913855 | (05) | NC |
9815389 | AETNA (01) | NC |