Healthcare Provider Details

I. General information

NPI: 1598801516
Provider Name (Legal Business Name): RUTH DURAND HOOVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RUTH DURAND HAYS M.D.

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 ELMS PLANTATION BLVD
NORTH CHARLESTON SC
29406-9164
US

IV. Provider business mailing address

3001 KEITH ST NW
CLEVELAND TN
37312-3713
US

V. Phone/Fax

Practice location:
  • Phone: 843-764-3500
  • Fax: 843-569-7222
Mailing address:
  • Phone: 423-473-5029
  • Fax: 423-339-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number16596
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: