Provider Demographics
NPI:1902440159
Name:HP INTERNAL MEDICINE
Entity Type:Organization
Organization Name:HP INTERNAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HUIPING
Authorized Official - Middle Name:
Authorized Official - Last Name:PEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-454-9047
Mailing Address - Street 1:655 RIPPLE WATER RUN
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-7323
Mailing Address - Country:US
Mailing Address - Phone:843-259-4616
Mailing Address - Fax:770-545-8383
Practice Address - Street 1:4720 PEACHTREE INDUSTRIAL BLVD STE 202
Practice Address - Street 2:
Practice Address - City:BERKELEY LAKE
Practice Address - State:GA
Practice Address - Zip Code:30071-5736
Practice Address - Country:US
Practice Address - Phone:770-454-9047
Practice Address - Fax:770-457-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-31
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care