Basic Information
Provider Information
NPI: 1083603708
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOOD
FirstName: DANNIS
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3024 BUSINESS PARK CIR
Address2:  
City: GOODLETTSVILLE
State: TN
PostalCode: 370723132
CountryCode: US
TelephoneNumber: 6158516033
FaxNumber: 6292086008
Practice Location
Address1: 132 BATTLEFIELD CROSSING CT
Address2:  
City: RINGGOLD
State: GA
PostalCode: 307365176
CountryCode: US
TelephoneNumber: 7068583988
FaxNumber: 7068589022
Other Information
ProviderEnumerationDate: 10/14/2005
LastUpdateDate: 01/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X30209TNN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RC0000X35267GAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011X35267GAN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RI0011X30209TNY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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