Individual
FRED KENNARD HOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 OLD JACKSON RD, MCDONOUGH, GA 30252-3095
(678) 490-0080
(678) 490-0091
Mailing address
65 OLD JACKSON RD, MCDONOUGH, GA 30252-3095
(678) 490-0080
(678) 490-0091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000819431A
—
GA
01
—
0100102
UNITED HEALTHCARE
GA
01
—
080140397
RAILROAD MEDICARE
GA
01
—
10033108
AMERIGROUP
GA
01
—
1061050002
PEACHSTATE
GA
01
—
314128
WELLCARE
GA
01
—
52728647001
BC/BS GEORGIA
GA
01
—
8266
KAISER
GA
Enumeration date
10/24/2005
Last updated
02/12/2014
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