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NPI Code Detail

MEDICARE: LIFEHOPE CARDIOLOGY, LLC

MEDICARE: LIFEHOPE CARDIOLOGY, LLC
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
1207RC0000XCardiovascular Disease Physician

General Provider Information

NPI Number : 1659070217
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFEHOPE CARDIOLOGY, LLC
Provider Business Mailing Address
First Line : 11680 GREAT OAKS WAY STE 170
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2483
Country : US
Telephone Number : 707-755-5664
Fax Number : 770-755-1817
Provider Business Practice Location Address
First Line : 11680 GREAT OAKS WAY STE 170
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2483
Country : US
Telephone Number : 770-755-5825
Fax Number :
Authorized Official
Title or Position : PRACTICE MANAGER
Name : JULIA THORNE
Credential : DNP
Telephone Number : 321-228-6442
Provider Enumeration Date : 03/02/2023
Last Update Date : 06/04/2023

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Directions to “LIFEHOPE CARDIOLOGY, LLC ” Practice Location

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