Provider Demographics
NPI:1710413778
Name:HOPE MEDICAL CARE
Entity Type:Organization
Organization Name:HOPE MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:252-314-3134
Mailing Address - Street 1:323 CLIFTON ST
Mailing Address - Street 2:13
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5005
Mailing Address - Country:US
Mailing Address - Phone:252-364-3134
Mailing Address - Fax:
Practice Address - Street 1:323 CLIFTON ST
Practice Address - Street 2:13
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5005
Practice Address - Country:US
Practice Address - Phone:252-364-3134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPRN 4337314000000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility