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Individual

DR. CHARLES HOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 KEMBLE AVE, BRUNSWICK, GA 31520-4211
(912) 466-7000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
039592
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000751484A
GA
Enumeration date
04/25/2006
Last updated
09/24/2008
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