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Individual

DR. VENDIE HUDSON HOOKS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1348 WALTON WAY, SUITE 6500, AUGUSTA, GA 30901-5104
(706) 722-2118
(706) 722-0342
Mailing address
1348 WALTON WAY, SUITE 6500, AUGUSTA, GA 30901-5104
(706) 722-2118
(706) 722-0342

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
017026
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00201528B
GA
01
1591891002
CIGNA
GA
01
1591891003
CIGNA HMO
GA
01
2089760
AETNA HMO
GA
01
4138352
AETNA
GA
05
457030
SC
Enumeration date
10/23/2006
Last updated
02/15/2010
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