Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2008-00507 | NC |
N | 2080N0001X | Neonatal-Perinatal Doctor | 25483 | SC |
NPI | 1063500817 |
---|---|
Provider Name | Michael S Hoover |
First Address | Goldsboro, NC 27534-9460 |
Second Address | Goldsboro, NC 27534-9460 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 05/08/2011 |