# HOOVER FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841475233
- **Authorized official:** REGINA ROSE HUDSON DE CORONA JD (IN-HOUSE COUNSEL)
- **Authorized official phone:** (205) 979-3381

## Contact information

- **Practice address:** 1575 MONTGOMERY HWY, HOOVER, AL 35216-4510
- **Practice address phone:** (205) 979-3381
- **Practice address fax:** (205) 979-3726
- **Mailing address:** 1575 MONTGOMERY HWY, HOOVER, AL 35216-4510
- **Mailing address phone:** (205) 979-3381
- **Mailing address fax:** (205) 979-3726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 8072 | AL | Yes |

## Other

- **Enumeration date:** 01/03/2008
- **Last updated:** 01/03/2008