Provider Demographics
NPI:1578583035
Name:MCDANIEL-DESARMES, HOPE HAMLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOPE
Middle Name:HAMLIN
Last Name:MCDANIEL-DESARMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HOPE
Other - Middle Name:HAMLIN
Other - Last Name:MCDANIEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-504-5678
Mailing Address - Fax:
Practice Address - Street 1:6875 DOUGLAS BLVD, SUITE
Practice Address - Street 2:KAISER PERMANENTE DOUGLASVILLE MEDICAL OFFICE
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135
Practice Address - Country:US
Practice Address - Phone:770-382-0029
Practice Address - Fax:770-387-0306
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA695715138AMedicaid
GA695715138AMedicaid