Healthcare Provider Details

I. General information

NPI: 1487893756
Provider Name (Legal Business Name): GEORGIA BAPTIST COLLEGE OF NURSING OF MERCER UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 MERCER UNIVERSITY DR
ATLANTA GA
30341-4115
US

IV. Provider business mailing address

3001 MERCER UNIVERSITY DR
ATLANTA GA
30341-4115
US

V. Phone/Fax

Practice location:
  • Phone: 678-547-6701
  • Fax: 678-547-6777
Mailing address:
  • Phone: 678-547-6701
  • Fax: 678-547-6777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberRN185242
License Number StateGA

VIII. Authorized Official

Name: SUSAN S. GUNBY
Title or Position: DEAN
Credential:
Phone: 678-547-6798