Provider Demographics
NPI:1326002106
Name:HOPKINS, REBECCA B (DOCTOR OF AUDIOLOGY)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:B
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DOCTOR OF AUDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 GEORGE C WILSON DR
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5700
Mailing Address - Country:US
Mailing Address - Phone:706-364-2378
Mailing Address - Fax:706-364-2380
Practice Address - Street 1:1215 GEORGE C WILSON DR
Practice Address - Street 2:SUITE 3A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5700
Practice Address - Country:US
Practice Address - Phone:706-364-2378
Practice Address - Fax:706-364-2380
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA459231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA703515OtherBLUE SHIELD PROVIDER NO
GAQ36628Medicare UPIN
GA703515OtherBLUE SHIELD PROVIDER NO