Individual
DR. RUTH DURAND HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2600 ELMS PLANTATION BLVD, NORTH CHARLESTON, SC 29406-9164
(843) 764-3500
(843) 569-7222
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5029
(423) 339-4833
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16596
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165966
—
SC
01
—
562019268
BLUE CROSS BLUE SHIELD
SC
Enumeration date
01/29/2007
Last updated
09/26/2013
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