Healthcare Provider Details

I. General information

NPI: 1598941320
Provider Name (Legal Business Name): EMORY UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 LENOX RD NE E212
ATLANTA GA
30324-2679
US

IV. Provider business mailing address

3200 LENOX RD NE E212
ATLANTA GA
30324-2679
US

V. Phone/Fax

Practice location:
  • Phone: 404-512-7827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number59897
License Number StateGA

VIII. Authorized Official

Name: DR. JAMES R. ZAIDAN
Title or Position: ASSOCIATE DEAN FOR GRADUATE MEDICAL
Credential:
Phone: 404-778-3903