Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 043652 | GA |
NPI | 1023015195 |
---|---|
Provider Name | Dr. Dozier Russell Hood |
First Address | Fayetteville, GA 30214-4565 |
Second Address | Fayetteville, GA 30214-4565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 09/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000749383B | (05) | GA |
000749383C | (05) | GA |
000749383D | (05) | GA |
52617132 | BCBS OF GEORGIA (01) | GA |
5378554 | AETNA HMO/POS (01) | GA |
8183317 | CIGNA (01) | GA |
8378554 | AETMA FEE FOR SERVICE (01) | GA |
O40016917 | RAILROAD MEDICARE (01) | GA |