Basic Information
Provider Information
NPI: 1225249253
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOOKS
FirstName: WILLIAM
MiddleName: BORDEN
NamePrefix: DR.
NameSuffix: III
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 936857
Address2:  
City: ATLANTA
State: GA
PostalCode: 311936857
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1725 NEW HANOVER MEDICAL PARK DR
Address2:  
City: WILMINGTON
State: NC
PostalCode: 284035345
CountryCode: US
TelephoneNumber: 9106679402
FaxNumber: 9107729452
Other Information
ProviderEnumerationDate: 05/24/2007
LastUpdateDate: 05/27/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/27/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X2010-00202NCY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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