Provider Demographics
NPI:1659473452
Name:HOPKINS, GEORGE DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:DAVID
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-3530
Mailing Address - Country:US
Mailing Address - Phone:615-217-4770
Mailing Address - Fax:615-217-7607
Practice Address - Street 1:130 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-3530
Practice Address - Country:US
Practice Address - Phone:615-631-6211
Practice Address - Fax:615-217-7607
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN012153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4070334OtherBCBS
TN0045152OtherBCBS ID#
TN621066280OtherTAX ID
TN4070334OtherBCBS
TN621066280OtherTAX ID