Doctor Name: | MS. CARROLL BELINDA HOGUE |
NPI Number: | 1407052020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1042894 |
Business Practice Address: | 607 Wilson Ave Suite 1 Eutaw, AL - 354621136 |
Business Phone Number: | 2053721260 |
Business Fax Number: | 2053721228 |
Mailing Address: | 607 Wilson Ave, Suite 1 EUTAW |
State: | AL |
Postal Code: | 354621136 |
Phone Number: | 2053721260 |
Fax Number: | 2053721228 |
NPI Enumeration Date: | 06/21/2007 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1042894 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |