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H.O.P.E. CLINICAL RESEARCH & WELLNESS NPI 1003484403


NPI Information

NPI: 1003484403
Provider Name: H.O.P.E. CLINICAL RESEARCH & WELLNESS
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Organization

CLIA Number: 11D2220489

Address:
992 E FREEWAY DR SE STE B
CONYERS, GA
ZIP 30094
Phone: (770) 679-5591
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H.O.P.E. CLINICAL RESEARCH & WELLNESS is a clinical nurse specialist in Conyers, GA. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. H.O.P.E. CLINICAL RESEARCH & WELLNESS NPI is 1003484403. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

992 E FREEWAY DR SE STE B
CONYERS, GA
ZIP 30094-916
Phone: (770) 679-5591
Fax: (770) 679-5633

The provider's authorized official is Boncille Mattox .
The authorized official title is Chief Of Marketing/crc and has the following contact phone number (770) 679-5591.

The CLIA number assigned to this NPI record is 11D2220489 - other - clinical research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2021 and was last updated on 6/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364S00000XClinical Nurse SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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