| Hope Family Medicine With Express Care Llc | |
|
7360 Mcginnis Ferry Rd Johns Creek GA 30024-6603 | |
| (575) 528-9478 | |
| Not Available |
| Full Name | Hope Family Medicine With Express Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7360 Mcginnis Ferry Rd, Johns Creek, Georgia |
| Authorized Official Name and Position | Kyoung Ho Lee (MANAGER) |
| Authorized Official Contact | 5755289478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Family Medicine With Express Care Llc 4065 Greenside Ct Dacula GA 30019-7244 Ph: (575) 528-9478 | Hope Family Medicine With Express Care Llc 7360 Mcginnis Ferry Rd Johns Creek GA 30024-6603 Ph: (575) 528-9478 |
| NPI Number | 1962985036 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 09/13/2018 |
| Medicare PECOS PAC ID | 8820335102 |
|---|---|
| Medicare Enrollment ID | O20190124000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962985036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kyoung Ho Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902118292 PECOS PAC ID: 7618104530 Enrollment ID: I20190124001230 |
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