Individual
DR. JOSEPH ALLEN HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3614D J DEWEY GRAY CIRCLE, AUGUSTA, GA 30909
(706) 868-7380
(706) 868-7223
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 650-9540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051234
GA
207Q00000X
Family Medicine Physician
Primary
51234
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00947614B
—
GA
01
—
051234
LICENSE
GA
01
—
10057101
AMERIGROUP
GA
01
—
336975
WELLCARE
GA
01
—
541234
GA MEDICAL LICENSE
GA
01
—
CH0654
RR MEDICARE GROUP PIN
GA
05
—
G51234
—
SC
Enumeration date
06/09/2006
Last updated
04/20/2026
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