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NPI Code Detail

MEDICARE: GRADY MEMORIAL HOSPITAL CORPORATION

MEDICARE: GRADY MEMORIAL HOSPITAL CORPORATION
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
1283X00000XRehabilitation Hospital
23416L0300XLand Ambulance060-30GA
3282N00000XGeneral Acute Care Hospital060069GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992799050
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRADY MEMORIAL HOSPITAL CORPORATION
Provider Business Mailing Address
First Line : 80 JESSE HILL JR DRIVE, SE
Second Line : BOX 26019
City : ATLANTA
State : GA
Zip : 30303-3050
Country : US
Telephone Number : 404-616-6695
Fax Number :
Provider Business Practice Location Address
First Line : 80 JESSE HILL JR DR, SE
Second Line :
City : ATLANTA
State : GA
Zip : 30303-3050
Country : US
Telephone Number : 404-616-1000
Fax Number :
Authorized Official
Title or Position : CFO
Name : MARK MEYER
Credential :
Telephone Number : 404-616-2315
Provider Enumeration Date : 09/06/2005
Last Update Date : 01/21/2025

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Directions to “GRADY MEMORIAL HOSPITAL CORPORATION ” Practice Location

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