Healthcare Provider Details

I. General information

NPI: 1851954978
Provider Name (Legal Business Name): HOPE NEUROLOGICAL & MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2019
Last Update Date: 04/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2021 N DRUID HILLS RD NE # 102
BROOKHAVEN GA
30329-1832
US

IV. Provider business mailing address

1435 BOGGS RD APT 1012
DULUTH GA
30096-9002
US

V. Phone/Fax

Practice location:
  • Phone: 404-801-9188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ARTURO DE LA TORRE
Title or Position: PRESIDENT
Credential:
Phone: 404-801-9188