Individual
CHARITY HOPE
Active
Individual
CHARITY HOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
81200
GA
207ZD0900X
Dermatopathology (Pathology) Physician
081200
GA
207ZD0900X
Dermatopathology (Pathology) Physician
MD2017-0474
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD2017-0474
NM
Other
Enumeration date
04/26/2010
Last updated
01/12/2021
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