Provider Demographics
NPI:1497848444
Name:HORMES, JOSEPH T (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:T
Last Name:HORMES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:780 CANTON ROAD NE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-7241
Mailing Address - Country:US
Mailing Address - Phone:770-422-3602
Mailing Address - Fax:770-421-6115
Practice Address - Street 1:780 CANTON ROAD NE
Practice Address - Street 2:SUITE 400
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7241
Practice Address - Country:US
Practice Address - Phone:770-422-3602
Practice Address - Fax:770-421-6115
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2019-10-17
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Provider Licenses
StateLicense IDTaxonomies
GA029674204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
D40175Medicare UPIN