| Hopebridge Llc | |
|
2415 Wall St Se Conyers GA 30013-6384 | |
| (855) 234-0885 | |
| Not Available |
| Full Name | Hopebridge Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2415 Wall St Se, Conyers, Georgia |
| Authorized Official Name and Position | Angie Graff (CONTRACTING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 3173768336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopebridge Llc 3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 Ph: () - | Hopebridge Llc 2415 Wall St Se Conyers GA 30013-6384 Ph: (855) 234-0885 |
| NPI Number | 1598349615 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598349615 | NPI | - | NPPES |
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