Zack Terry Hawks MA

NPI 1164776118 - Counselor - 101YP2500X

NPI Details
NPI 1164776118
Gender Male
Enumeration Date 10/30/2012
Last Updated 10/30/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
414 W LEBANON ST
MOUNT AIRY NC, 27030-2954, US
Phone (336) 789-9492
Fax
Business Location
162 RABBIT HILL LN
MOUNT AIRY NC, 27030-5484, US
Phone (336) 710-0046
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State North Carolina
License Number A9635
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According to our database, Mr. Zack Terry Hawks MA NPI is 1164776118, taxonomy code is 101YP2500X and license number is A9635, license state is located at North Carolina. Zack Terry Hawks MA physically located at 414 W Lebanon St, Mount Airy NC, 27030-2954. NPI Number Zack Terry Hawks MA has the Individual type.

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1164776118 NPI number is provided on an as is basis without warranty of any kind. 1164776118 is maintained by the National Plan & Provider Enumeration System. The contents of Zack Terry Hawks MA are for informational purposes only.