Healthcare Provider Details

I. General information

NPI: 1093777633
Provider Name (Legal Business Name): GEORGE T HOCKER MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 OLD WATERFORD ROAD NW
LEESBURG VA
20176
US

IV. Provider business mailing address

209 OLD WATERFORD ROAD NW
LEESBURG VA
20176
US

V. Phone/Fax

Practice location:
  • Phone: 703-777-4959
  • Fax: 703-777-8364
Mailing address:
  • Phone: 703-777-4959
  • Fax: 703-777-8364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101016585
License Number StateVA

VIII. Authorized Official

Name: DR. GEORGE T HOCKER
Title or Position: OWNER
Credential: MD
Phone: 703-777-4959