Individual
GREGORY KEITH HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12715 EVANS RD, KNOXVILLE, TN 37934-4512
(865) 316-3650
(865) 374-2114
Mailing address
12715 EVANS RD, KNOXVILLE, TN 37934-4512
(865) 316-3650
(865) 374-2114
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23756
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I201525
MEDICARE PTAN
TN
05
—
1514947
—
TN
01
—
3373632
MEDICARE PTAN #
TN
01
—
4326794
BLUE CROSS BLUE SHIELD OF TENNESSEE PROVIDER #
TN
Enumeration date
10/10/2005
Last updated
04/17/2025
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