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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