MEDICARE: HANNAH M. HOOD

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	235Z00000X	Speech-Language Pathologist	4685	SC

General Provider Information

NPI Number	:	1265744627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH M. HOOD

Provider Business Mailing Address
First Line	:	120 BALDPATE RD
Second Line	:
City	:	BLOOMINGDALE
State	:	GA
Zip	:	31302-9003
Country	:	US
Telephone Number	:	912-312-4132
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 BALDPATE RD
Second Line	:
City	:	BLOOMINGDALE
State	:	GA
Zip	:	31302-9003
Country	:	US
Telephone Number	:	912-312-4132
Fax Number	:

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

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	07/13/2010

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Directions to “ HANNAH M. HOOD ” Practice Location

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