Healthcare Provider Details

I. General information

NPI: 1942143870
Provider Name (Legal Business Name): HADDIE J HOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 WHITE OAK WAY
MONROE GA
30655-5673
US

IV. Provider business mailing address

216 WHITE OAK WAY
MONROE GA
30655-5673
US

V. Phone/Fax

Practice location:
  • Phone: 762-728-0260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN155912
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: