Basic Information
| Provider Information | |||||||||
| NPI: | 1326253865 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DR. CHARLOTTE HAWKINS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4077 WEST RD | ||||||||
| Address2: | |||||||||
| City: | CORTLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130451637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077539977 | ||||||||
| FaxNumber: | 6077537311 | ||||||||
| Practice Location | |||||||||
| Address1: | 4077 WEST RD | ||||||||
| Address2: | |||||||||
| City: | CORTLAND | ||||||||
| State: | NY | ||||||||
| PostalCode: | 130451637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077539977 | ||||||||
| FaxNumber: | 6077537311 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | HAWKINS | ||||||||
| AuthorizedOfficialFirstName: | CHARLOTTE | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 6077539977 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 153999 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.