| Hope Medical, Llc | |
|
5300 Memorial Dr Suite 110-112 Stone Mountain GA 30083-3148 | |
| (678) 704-0306 | |
| (678) 704-0706 |
| Full Name | Hope Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5300 Memorial Dr, Stone Mountain, Georgia |
| Authorized Official Name and Position | Samuel Johnson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6787040306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Medical, Llc 5300 Memorial Dr Suite 110-112 Stone Mountain GA 30083-3148 Ph: (678) 704-0306 | Hope Medical, Llc 5300 Memorial Dr Suite 110-112 Stone Mountain GA 30083-3148 Ph: (678) 704-0306 |
| NPI Number | 1124425483 |
|---|---|
| Provider Enumeration Date | 12/02/2014 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124425483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 037486 (Georgia) | Primary |
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Hope Medical Group, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5300 Memorial Dr, Suite 112, Stone Mountain, GA 30083 Phone: 678-704-0306 Fax: 678-704-0706 |