Provider Demographics
NPI:1992006589
Name:PIGNOTTI, HOPE M (CPHT)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:M
Last Name:PIGNOTTI
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4514 HICKORY GROVE DR NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-3561
Mailing Address - Country:US
Mailing Address - Phone:770-823-6629
Mailing Address - Fax:
Practice Address - Street 1:780 CHURCH ST NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7269
Practice Address - Country:US
Practice Address - Phone:770-422-2378
Practice Address - Fax:770-422-6891
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA300101041155804183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician