Provider Demographics
NPI:1780858571
Name:PAUL HOOD
Entity Type:Organization
Organization Name:PAUL HOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:251-621-5450
Mailing Address - Street 1:1745 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-8625
Mailing Address - Country:US
Mailing Address - Phone:251-621-5450
Mailing Address - Fax:251-621-2474
Practice Address - Street 1:1745 MAIN ST
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-8625
Practice Address - Country:US
Practice Address - Phone:251-621-5450
Practice Address - Fax:251-621-2474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2081261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALV02403Medicare UPIN