Individual
JOHN DAVID HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
23 SUNNYBROOK RD, RALEIGH, NC 27610-1855
(919) 350-8797
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
200501045
NC
208600000X
Surgery Physician
Primary
2005-01045
NC
2086S0120X
Pediatric Surgery Physician
2005-01045
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145GH
BCBS OF NC
NC
05
—
1700857869
—
NC
01
—
197896
MEDCOST
NC
01
—
5596858
CIGNA
NC
01
—
7878267
AETNA
NC
Enumeration date
01/27/2006
Last updated
01/17/2023
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