MEDICARE: THE HOPE CLINIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1740151315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HOPE CLINIC PLLC

Provider Business Mailing Address
First Line	:	PO BOX 3026
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37815-3026
Country	:	US
Telephone Number	:	423-616-0040
Fax Number	:	423-616-0043

Provider Business Practice Location Address
First Line	:	228 N FAIRMONT AVE
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3768
Country	:	US
Telephone Number	:	423-616-0040
Fax Number	:	423-616-0043

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	GWENDOLYN TEESHA MCDANIEL
Credential	:
Telephone Number	:	423-312-6899

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	05/18/2026

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Directions to “THE HOPE CLINIC PLLC ” Practice Location

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