Basic Information
Provider Information
NPI: 1689033672
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TOOMBS
FirstName: HOPE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1557 JANMAR RD
Address2:  
City: SNELLVILLE
State: GA
PostalCode: 300785686
CountryCode: US
TelephoneNumber: 6783448900
FaxNumber: 6786665201
Practice Location
Address1: 743 SPRING ST NE
Address2:  
City: GAINESVILLE
State: GA
PostalCode: 305013715
CountryCode: US
TelephoneNumber: 7705327179
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/18/2016
LastUpdateDate: 09/06/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000XRN198362GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


Home