Organization
H.O.P.E. CLINICAL RESEARCH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONCILLE MATTOX MSN, BSN, RN (CHIEF OF MARKETING/CRC)
(770) 679-5591
Entity
Organization
Contact information
Practice address
992 E FREEWAY DR SE STE B, CONYERS, GA 30094-5916
(770) 679-5591
(770) 679-5633
Mailing address
992 E FREEWAY DR SE STE B, CONYERS, GA 30094-5916
(770) 679-5591
(770) 679-5633
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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