Individual
DR. IVERSON B HOPSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 JEFF DAVIS AVE, SELMA, AL 36703-3833
(334) 874-4311
Mailing address
1415 JEFF DAVIS AVE, SELMA, AL 36703-3833
(334) 874-4311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3989
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008605170
—
AL
01
—
510-90415
BLUECROSS/BLUESHIELD
AL
Enumeration date
03/23/2008
Last updated
03/23/2008
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