Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | R153391 | MD |
NPI | 1164883443 |
---|---|
Provider Name | Holly Lee Hoover |
First Address | Cumberland, MD 21502-5777 |
Second Address | Cumberland, MD 21502-1638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2016 |
Last Update Date | 06/01/2022 |