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Organization
PROJECT CEAP PLLC
Active
Organization
PROJECT CEAP PLLC
Active
Other names
Hope Medical Group Granite
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN KING MD (CHIEF MEDICAL OFFICER)
(618) 451-5722
Entity
Organization
Contact information
Practice address
1602 21ST ST, GRANITE CITY, IL 62040-5397
(618) 451-5722
(618) 451-9092
Mailing address
1602 21ST ST, GRANITE CITY, IL 62040-5397
(618) 451-5722
(618) 451-9092
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VC0300X
Complex Family Planning Physician
—
—
207VG0400X
Gynecology Physician
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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