Organization
HOOTS MEMORIAL HOSPITAL INC
Active
Other names
Hoots Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA NORMAN (CHIEF FINANCIAL OFFICER)
(336) 679-6776
Entity
Organization
Contact information
Practice address
624 W MAIN ST, YADKINVILLE, NC 27055-7804
(336) 679-6776
(336) 679-6716
Mailing address
PO BOX 68, YADKINVILLE, NC 27055-0068
(336) 679-6776
(336) 679-6716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012JY
BCBSNC
NC
05
—
89012JY
—
NC
Enumeration date
02/21/2008
Last updated
04/21/2009
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