MEDICARE: DR. CHARLES E HOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4216	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	03031	OTHER	AL	BLUE CROSS

General Provider Information

NPI Number	:	1124026513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES E HOOD MD

Provider Business Mailing Address
First Line	:	521 WOODS COVE RD
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-4930
Country	:	US
Telephone Number	:	256-259-1413
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 WOODS COVE RD
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-4930
Country	:	US
Telephone Number	:	256-259-1413
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	09/26/2013

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