Provider Demographics
NPI:1205279775
Name:HOOD, COURTNEY ANITA
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:ANITA
Last Name:HOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 ELAINE ST
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-4826
Mailing Address - Country:US
Mailing Address - Phone:404-272-5116
Mailing Address - Fax:
Practice Address - Street 1:751 ELAINE ST
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4826
Practice Address - Country:US
Practice Address - Phone:404-272-5116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator