Individual
MR. CHARLES DONOVAN HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
28779 NICK DAVIS RD., LIMESTONE CORRECTIONAL FACILITY, HARVEST, AL 35749
(256) 233-4600
(256) 230-9417
Mailing address
28779 NICK DAVIS R.D., LIMESTONE CORRECTIONAL FACILITY, HARVEST, AL 35749
(256) 233-4600
(256) 230-9417
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-077820
AL
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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