Basic Information
Provider Information
NPI: 1659955953
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAWKINS
FirstName: PADRAIG
MiddleName: EAMON
NamePrefix: MR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: CB# 7020, 130 MASON FARM ROAD
Address2: 4TH FLOOR BIOINFORMATICS BUILDING
City: CHAPEL HILL
State: NC
PostalCode: 275997020
CountryCode: US
TelephoneNumber: 9199662531
FaxNumber: 9199667013
Practice Location
Address1: 100 EASTOWNE DR FL 2
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275142286
CountryCode: US
TelephoneNumber: 9849745703
FaxNumber: 9849745737
Other Information
ProviderEnumerationDate: 05/12/2021
LastUpdateDate: 05/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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