Individual
DR. SHAWN BROOKE HOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2006-00997
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2006-00997
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
200600997
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904597
—
NC
01
—
P01048438
RR MEDICARE PTAN
—
Enumeration date
07/10/2006
Last updated
09/23/2021
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