Healthcare Provider Details

I. General information

NPI: 1508582412
Provider Name (Legal Business Name): MEREDITH W HOOD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 VIRGINIA LN
CORINTH MS
38834-6530
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 662-977-7180
  • Fax: 662-977-7182
Mailing address:
  • Phone: 423-238-7217
  • Fax: 423-933-1996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT6898
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: