Healthcare Provider Details

I. General information

NPI: 1134919897
Provider Name (Legal Business Name): ERIN HOOVER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

4220 STACKSTONE DR
CUMMING GA
30041-5644
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-6051
  • Fax:
Mailing address:
  • Phone: 678-234-9967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN258785
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: