Healthcare Provider Details
I. General information
NPI: 1346480571
Provider Name (Legal Business Name): HOPEWAYS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2009
Last Update Date: 01/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1881 GENERAL GEORGE PATTON DR 107
FRANKLIN TN
37067-4606
US
IV. Provider business mailing address
1881 GENERAL GEORGE PATTON DRIVE 107
FRANKLIN TN
37067-4610
US
V. Phone/Fax
- Phone: 615-829-5700
- Fax: 615-661-4357
- Phone: 615-829-5700
- Fax: 615-661-4357
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RA0401X |
| Taxonomy | Addiction Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084A0401X |
| Taxonomy | Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHRISTOPHER
DULL
SR.
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 615-829-5700