Provider Demographics
NPI:1417005778
Name:HOOPER, ALVIN RAY JR (RN)
Entity Type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:RAY
Last Name:HOOPER
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 OLD SUNSET HILL RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-8364
Mailing Address - Country:US
Mailing Address - Phone:706-265-9434
Mailing Address - Fax:
Practice Address - Street 1:721 OLD SUNSET HILL RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-8364
Practice Address - Country:US
Practice Address - Phone:706-265-9434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC191209163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy