Zackary Hawks, MA

NPI 1164776118 · on the registry since 2012 · sole proprietor

Practice

Address: 414 W Lebanon St
Mount Airy, NC 27030
Phone: (336) 789-9492
Organisation at this address: Easter Seals Ucp Nc & Va, Inc
Easter Seals Ucp North Carolina & Virgina, Inc.
Easter Seals Ucp North Carolina & Virginia, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina