Provider Demographics
NPI:1760036982
Name:HOSKINS, TAYLOR NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:NICOLE
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 WOODBROOK LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-7738
Mailing Address - Country:US
Mailing Address - Phone:229-224-0642
Mailing Address - Fax:
Practice Address - Street 1:10917 HIGHWAY 92 STE 160
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6330
Practice Address - Country:US
Practice Address - Phone:678-385-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-25
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR010303111N00000X
AZ8837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor