MEDICARE: GLOBAL MILLENNIUM INTERNATIONAL

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	174H00000X	Health Educator		PA
2	251K00000X	Public Health or Welfare Agency	923120	PA
3	261QH0100X	Health Service Clinic/Center	923120	PA

General Provider Information

NPI Number	:	1184120545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL MILLENNIUM INTERNATIONAL

Provider Business Mailing Address
First Line	:	3514 WOODHAVEN RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-2623
Country	:	US
Telephone Number	:	215-779-7355
Fax Number	:

Provider Business Practice Location Address
First Line	:	3514 WOODHAVEN RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19154-2623
Country	:	US
Telephone Number	:	215-779-7355
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	DR. PAUL E. HOPKINS
Credential	:	CDSM, ND
Telephone Number	:	215-779-7355

Provider Enumeration Date	:	04/04/2018
Last Update Date	:	04/04/2018

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Directions to “GLOBAL MILLENNIUM INTERNATIONAL ” Practice Location

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