MEDICARE: DR. MICHAEL A HOOKS PHARMD

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
1	1835P1200X	Pharmacotherapy Pharmacist	RPH 14194	GA
2	207RI0008X	Hepatology Physician	14194	GA
3	2085R0001X	Radiation Oncology Physician	14194	GA
4	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	14194	GA

General Provider Information

NPI Number	:	1457659070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL A HOOKS PHARMD

Provider Business Mailing Address
First Line	:	382 BELLINGHAM DR
Second Line	:
City	:	THOMASVILLE
State	:	GA
Zip	:	31792-8663
Country	:	US
Telephone Number	:	229-227-0573
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 S BROAD ST
Second Line	:
City	:	THOMASVILLE
State	:	GA
Zip	:	31792-6114
Country	:	US
Telephone Number	:	229-516-2517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2011
Last Update Date	:	03/23/2021

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