Place Of Hope Inc | |
5405 Jonesboro Rd Lake City GA 30260-3504 | |
(404) 259-0780 | |
(404) 608-9719 |
Full Name | Place Of Hope Inc |
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Speciality | Voluntary Or Charitable |
Location | 5405 Jonesboro Rd, Lake City, Georgia |
Authorized Official Name and Position | Christiana Odugunwa (CEO) |
Authorized Official Contact | 4042590780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Place Of Hope Inc 5405 Jonesboro Rd Lake City GA 30260-3504 Ph: (404) 259-0780 | Place Of Hope Inc 5405 Jonesboro Rd Lake City GA 30260-3504 Ph: (404) 259-0780 |
NPI Number | 1609422237 |
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Provider Enumeration Date | 08/09/2019 |
Last Update Date | 08/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609422237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
Advanced Medical Clinics, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5499 Jonesboro Rd, Lake City, GA 30260 Phone: 404-363-6460 Fax: 404-363-4348 |