Provider Demographics
NPI:1265908537
Name:HOPKINS, JOELL WAYNE II
Entity type:Individual
Prefix:
First Name:JOELL
Middle Name:WAYNE
Last Name:HOPKINS
Suffix:II
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 1:3021 JEHOSSEE ST APT 8308
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5953
Mailing Address - Country:US
Mailing Address - Phone:234-334-1880
Mailing Address - Fax:
Practice Address - Street 1:333 S MAIN ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1202
Practice Address - Country:US
Practice Address - Phone:234-334-1880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator