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General NPI Number Information
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NPI Number | 1710413778
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Entity Type | Organization
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Legal Business Name | HOPE MEDICAL CARE
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 323 CLIFTON ST 13
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City | GREENVILLE
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State | NC
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Zip | 27858-5005
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Country | US
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Telephone | 252-364-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 323 CLIFTON ST 13
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City | GREENVILLE
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State | NC
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Zip | 27858-5005
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Country | US
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Telephone | 252-364-3134
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE SECRETARY
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Name | DR. MICHAEL LAWRENCE
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Credential | MD
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Telephone | 252-314-3134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | APRN 4337
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN 4337
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License Number State | SC
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