Provider Demographics
NPI:1720491343
Name:HOPE, KATINA (MD)
Entity Type:Individual
Prefix:DR
First Name:KATINA
Middle Name:
Last Name:HOPE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATINA
Other - Middle Name:R
Other - Last Name:STEVENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4395 KIMBALL BRIDGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-4409
Mailing Address - Country:US
Mailing Address - Phone:470-681-9400
Mailing Address - Fax:
Practice Address - Street 1:4395 KIMBALL BRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-4409
Practice Address - Country:US
Practice Address - Phone:470-681-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92463207Q00000X
IL036143814207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine