Provider Demographics
NPI:1821379322
Name:HOOD, TERRY B (NP)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:B
Last Name:HOOD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 116638
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368
Mailing Address - Country:US
Mailing Address - Phone:423-495-8659
Mailing Address - Fax:706-861-7003
Practice Address - Street 1:103 CHEROKEE BOULEVARD
Practice Address - Street 2:SUITE E
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37405
Practice Address - Country:US
Practice Address - Phone:423-756-1506
Practice Address - Fax:423-756-1909
Is Sole Proprietor?:No
Enumeration Date:2011-08-30
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN15865363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN120692OtherLICENSE
GA211820OtherLICENSE