Individual
CHARLES H HOOVER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 E FRANKLIN ST, MONROE, NC 28112-5160
(704) 289-8427
(704) 283-5522
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 289-8427
(704) 283-5522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21800
NC
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
21800
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43650
BCBS
NC
05
—
8943650
—
NC
05
—
N12800
—
SC
Enumeration date
06/06/2006
Last updated
03/07/2023
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