Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 029674 | GA |
NPI | 1497848444 |
---|---|
Provider Name | Dr. Joseph T Hormes |
First Address | Marietta, GA 30060-7241 |
Second Address | Marietta, GA 30060-7241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 17/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D40175 | (02) |