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NPI Code Detail

MEDICARE: BENJAMIN HOCUTT AG-ACNP

MEDICARE: BENJAMIN HOCUTT AG-ACNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner5007239NC

General Provider Information

NPI Number : 1063817773
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN HOCUTT AG-ACNP
Provider Business Mailing Address
First Line : 526 MOYE BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2848
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 526 MOYE BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2848
Country : US
Telephone Number : 252-847-1135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2014
Last Update Date : 10/24/2014

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