Healthcare Provider Details

I. General information

NPI: 1922261528
Provider Name (Legal Business Name): EMORY UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2008
Last Update Date: 07/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 JESSE HILL JR DR SE
ATLANTA GA
30303-3033
US

IV. Provider business mailing address

450 PIEDMONT AVE NE APT 1402
ATLANTA GA
30308-3441
US

V. Phone/Fax

Practice location:
  • Phone: 404-727-9934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NW0100X
TaxonomyWomen's Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANY GENERAL
Title or Position: RESIDENT
Credential: MD
Phone: 404-343-3212