Organization
4MD2 PHYSICIAN SERVICES OF BOWLING GREEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY DUWANE HOOPER (PRESIDENT)
(205) 995-0422
Entity
Organization
Contact information
Practice address
1801 ASHLEY CIR, EMERGENCY ROOM, BOWLING GREEN, KY 42104-3362
(205) 995-0422
Mailing address
1028 HIGHLAND LAKES TRCE, BIRMINGHAM, AL 35242-6877
(205) 995-0422
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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