Provider Demographics
NPI:1275785818
Name:HOOD, CHRISTY ANN (IDC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:ANN
Last Name:HOOD
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2359 CATLIN AVENUE
Mailing Address - Street 2:
Mailing Address - City:QUANTICO
Mailing Address - State:VA
Mailing Address - Zip Code:22134-3206
Mailing Address - Country:US
Mailing Address - Phone:703-784-1863
Mailing Address - Fax:
Practice Address - Street 1:2359 CATLIN AVENUE
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22134-6050
Practice Address - Country:US
Practice Address - Phone:703-784-1863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman