Provider Demographics
NPI:1023015195
Name:HOOD, DOZIER RUSSELL (MD)
Entity Type:Individual
Prefix:DR
First Name:DOZIER
Middle Name:RUSSELL
Last Name:HOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 HIGHWAY 54 W BLDG 700 STE 710
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4565
Mailing Address - Country:US
Mailing Address - Phone:678-534-5922
Mailing Address - Fax:770-997-3827
Practice Address - Street 1:1240 HIGHWAY 54 W BLDG 700 STE 710
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4565
Practice Address - Country:US
Practice Address - Phone:770-991-2800
Practice Address - Fax:770-997-3827
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA043652207Y00000X, 207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52617132OtherBCBS OF GEORGIA
GA5378554OtherAETNA HMO/POS
GA8183317OtherCIGNA
GA8378554OtherAETMA FEE FOR SERVICE
GAO40016917OtherRAILROAD MEDICARE
GA000749383BMedicaid
GA000749383CMedicaid
GA000749383DMedicaid