Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 2081 | AL |
NPI | 1346414133 |
---|---|
Provider Name | Dr. Paul Hood III |
First Address | Daphne, AL 36526-4514 |
Second Address | Daphne, AL 36526-4514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 14/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V02403 | (02) | AL |