| Hope Medical Group, P.c. | |
|
5300 Memorial Dr Suite 112 Stone Mountain GA 30083-3148 | |
| (678) 704-0306 | |
| (678) 704-0706 |
| Full Name | Hope Medical Group, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 5300 Memorial Dr, Stone Mountain, Georgia |
| Authorized Official Name and Position | Samuel Johnson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6787040306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Medical Group, P.c. 5300 Memorial Dr Suite 112 Stone Mountain GA 30083-3148 Ph: (678) 704-0306 | Hope Medical Group, P.c. 5300 Memorial Dr Suite 112 Stone Mountain GA 30083-3148 Ph: (678) 704-0306 |
| NPI Number | 1154399210 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3779571708 |
|---|---|
| Medicare Enrollment ID | O20040506000190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154399210 | NPI | - | NPPES |
| Provider Name | Samuel E Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477749810 PECOS PAC ID: 8820240310 Enrollment ID: I20121210000153 |
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