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Organization

HOPE MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL JOHNSON M.D. (MEDICAL DIRECTOR)
(678) 704-0306
Entity
Organization

Contact information

Practice address
5300 MEMORIAL DR, SUITE 110-112, STONE MOUNTAIN, GA 30083-3148
(678) 704-0306
(678) 704-0706
Mailing address
5300 MEMORIAL DR, SUITE 110-112, STONE MOUNTAIN, GA 30083-3148
(678) 704-0306
(678) 704-0706

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037486
GA

Other

Enumeration date
12/02/2014
Last updated
12/02/2014
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