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HOPE MEDICAL GROUP INC NPI 1154399210


NPI Information

NPI: 1154399210
Provider Name: HOPE MEDICAL GROUP INC

Doing Business As: HOPE MEDICAL GROUP, P.C.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
5300 MEMORIAL DR
SUITE 112
STONE MOUNTAIN, GA
ZIP 30083
Phone: (678) 704-0306
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HOPE MEDICAL GROUP INC is a general practice in Stone Mountain, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HOPE MEDICAL GROUP INC NPI is 1154399210. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hope Medical Group, P.c..

The provider's business location address is:

5300 MEMORIAL DR
SUITE 112
STONE MOUNTAIN, GA
ZIP 30083-148
Phone: (678) 704-0306
Fax: (678) 704-0706

The provider's authorized official is Samuel Johnson .
The authorized official title is Medical Director and has the following contact phone number (678) 704-0306.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice037841GEORGIAYes
2207Q00000XFamily Medicine047542GEORGIAX
3207V00000XObstetrics & Gynecology015563GEORGIAX
42083P0901XPreventive MedicinePublic Health & General Preventive Medicine056406GEORGIAX
52084P0800XPsychiatry & NeurologyPsychiatry056406GEORGIAX

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: 5/5/2024

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