Basic Information
Provider Information
NPI: 1760540033
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUCHANAN
FirstName: HOPE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3495 PIEDMONT RD NE
Address2: NINE PIEDMONT CENTER
City: ATLANTA
State: GA
PostalCode: 303051717
CountryCode: US
TelephoneNumber: 4043647000
FaxNumber:  
Practice Location
Address1: INTERNAL MEDICINE HEALTH CARE TEAM A
Address2: 2525 CUMBERLAND PARKWA
City: ATLANTA
State: GA
PostalCode: 30339
CountryCode: US
TelephoneNumber: 7704314305
FaxNumber: 7704314338
Other Information
ProviderEnumerationDate: 12/05/2006
LastUpdateDate: 01/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X056174GAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home