MEDICARE: MARY HOCHKINS

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	363LF0000X	Family Nurse Practitioner	RN220322	GA

General Provider Information

NPI Number	:	1720472087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY HOCHKINS

Provider Business Mailing Address
First Line	:	134 MOUNTAINSIDE VILLAGE PKWY
Second Line	:	BUILDING 500
City	:	JASPER
State	:	GA
Zip	:	30143-8694
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 MOUNTAINSIDE VILLAGE PKWY
Second Line	:	BUILDING 500
City	:	JASPER
State	:	GA
Zip	:	30143-8694
Country	:	US
Telephone Number	:	706-253-7340
Fax Number	:

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

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	03/25/2015

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Directions to “ MARY HOCHKINS ” Practice Location

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