Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 81200 | GA |
NPI | 1528385838 |
---|---|
Provider Name | Charity Hope |
First Address | Brentwood, TN 37027-7542 |
Second Address | Atlanta, GA 30349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 12/01/2021 |