MEDICARE: DR. JOSEPH M HOCK DC

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	111N00000X	Chiropractor	006952	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	006952	OTHER	GA	LICENSE #

General Provider Information

NPI Number	:	1992875694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH M HOCK DC

Provider Business Mailing Address
First Line	:	3130 BAYMOUNT DR
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30043-7690
Country	:	US
Telephone Number	:	678-714-1641
Fax Number	:

Provider Business Practice Location Address
First Line	:	3703 WINDER HWY
Second Line	:
City	:	FLOWERY BRANCH
State	:	GA
Zip	:	30542-3015
Country	:	US
Telephone Number	:	770-532-2220
Fax Number	:

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	02/20/2008

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Directions to “ DR. JOSEPH M HOCK DC” Practice Location

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