Provider Demographics
NPI:1558346932
Name:HOTCHKISS, PHILIP M (PA-C)
Entity Type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:M
Last Name:HOTCHKISS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:697 LOUISIANA RD
Mailing Address - Street 2:
Mailing Address - City:DYESS AFB
Mailing Address - State:TX
Mailing Address - Zip Code:79607-1141
Mailing Address - Country:US
Mailing Address - Phone:325-696-4754
Mailing Address - Fax:
Practice Address - Street 1:684 SIXES RD STE 125A
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30115-8758
Practice Address - Country:US
Practice Address - Phone:678-426-5450
Practice Address - Fax:678-426-5454
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2019-07-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
GA0000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant