Provider Demographics
NPI:1760971725
Name:HOCKENBURY, MAX FLINT (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:FLINT
Last Name:HOCKENBURY
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 1:234 CROOKED CREEK PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-8506
Mailing Address - Country:US
Mailing Address - Phone:919-544-6644
Mailing Address - Fax:919-544-0934
Practice Address - Street 1:234 CROOKED CREEK PKWY STE 200
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8506
Practice Address - Country:US
Practice Address - Phone:919-544-6644
Practice Address - Fax:919-544-0934
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-05
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2021-00565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty