Hood, Kim Bradley
Hood, Kim Bradley is an individual health care provider with primary practice located at 643 East Main Street , Blackshear GA 31516. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Hood, Kim Bradley can be contacted via phone (912) 449-6310.Contact Information
Primary practice address
643 East Main Street
Blackshear GA 31516
Phone: (912) 449-6310
Fax: (912) 449-0009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN010794 | Georgia |
Profile Details
| NPI number | 1972678282 |
|---|---|
| LBN Legal business name | Hood, Kim Bradley |
| Credentials | DMD PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972678282 | NPPES |
| Georgia | MEDICAID | 00415423A | |
| Georgia | Other | 839938 |
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