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NPI Code Detail

MEDICARE: SICKLE CELL FOUNDATION OF GEORGIA, INC.

MEDICARE: SICKLE CELL FOUNDATION OF GEORGIA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical LaboratoryGA

General Provider Information

NPI Number : 1578763181
Entity Type Code : Organization
Provider Name (Legal Business Name) : SICKLE CELL FOUNDATION OF GEORGIA, INC.
Provider Business Mailing Address
First Line : 2391 BENJAMIN E MAYS DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30311-3251
Country : US
Telephone Number : 404-755-1641
Fax Number : 404-755-7955
Provider Business Practice Location Address
First Line : 2391 BENJAMIN E MAYS DR SW
Second Line :
City : ATLANTA
State : GA
Zip : 30311-3251
Country : US
Telephone Number : 404-755-1641
Fax Number : 404-755-7955
Authorized Official
Title or Position : PRESIDENT & COO
Name : MS. D. JEAN BRANNAN
Credential :
Telephone Number : 404-755-1641
Provider Enumeration Date : 07/21/2007
Last Update Date : 07/21/2007

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Directions to “SICKLE CELL FOUNDATION OF GEORGIA, INC. ” Practice Location

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