Healthcare Provider Details
I. General information
NPI: 1902440159
Provider Name (Legal Business Name): HP INTERNAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3814 SATELLITE BLVD STE 100
DULUTH GA
30096-5693
US
IV. Provider business mailing address
655 RIPPLE WATER RUN
LILBURN GA
30047-7323
US
V. Phone/Fax
- Phone: 770-514-8880
- Fax: 678-648-1788
- Phone: 843-259-4616
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HUIPING
PEI
Title or Position: PHYSICIAN OWNER
Credential:
Phone: 770-514-8880