Provider Demographics
NPI:1558144923
Name:HOPKINS, JOHN ANTHONY SR
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:ANTHONY
Last Name:HOPKINS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11635 NORTHPARK DR STE 320
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-6525
Mailing Address - Country:US
Mailing Address - Phone:919-263-9293
Mailing Address - Fax:919-435-8823
Practice Address - Street 1:11635 NORTHPARK DR STE 320
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-6525
Practice Address - Country:US
Practice Address - Phone:919-263-9293
Practice Address - Fax:919-435-8823
Is Sole Proprietor?:No
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator