# LIFEHOPE MOBILE MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093482903
- **Authorized official:** SCOTT HONAN (SOLE MEMBER)
- **Authorized official phone:** (404) 255-6358

## Contact information

- **Practice address:** 11680 GREAT OAKS WAY STE 300, ALPHARETTA, GA 30022-2459
- **Practice address phone:** (404) 255-6358
- **Mailing address:** 3330 PRESTON RIDGE RD STE 380, ALPHARETTA, GA 30005-4596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/27/2021
- **Last updated:** 08/27/2021
