Provider Demographics
NPI:1356001614
Name:HOOD, BETSY CAMILLE (PA)
Entity Type:Individual
Prefix:
First Name:BETSY
Middle Name:CAMILLE
Last Name:HOOD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 LINEAGE LN
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-8105
Mailing Address - Country:US
Mailing Address - Phone:601-832-0079
Mailing Address - Fax:
Practice Address - Street 1:101 LEXINGTON DR STE A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-6986
Practice Address - Country:US
Practice Address - Phone:601-707-3771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant