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NPI Code Detail

MEDICARE: DR. HALDEN WAYNE HOOPER JR. M.D.

MEDICARE: DR. HALDEN WAYNE HOOPER JR. M.D.
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician14654TN

General Provider Information

NPI Number : 1871565465
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HALDEN WAYNE HOOPER JR. M.D.
Provider Business Mailing Address
First Line : 1156 NASHVILLE PIKE
Second Line :
City : GALLATIN
State : TN
Zip : 37066-3110
Country : US
Telephone Number : 615-989-1088
Fax Number : 615-823-2060
Provider Business Practice Location Address
First Line : 1156 NASHVILLE PIKE
Second Line :
City : GALLATIN
State : TN
Zip : 37066-3110
Country : US
Telephone Number : 615-989-1088
Fax Number : 615-823-2060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 02/05/2020

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