Healthcare Provider Details

I. General information

NPI: 1073592747
Provider Name (Legal Business Name): EMORY UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 N DECATUR RD
DECATUR GA
30033-5307
US

IV. Provider business mailing address

2165 N DECATUR RD
DECATUR GA
30033-5307
US

V. Phone/Fax

Practice location:
  • Phone: 404-778-8500
  • Fax: 404-778-8559
Mailing address:
  • Phone: 404-778-8500
  • Fax: 404-778-8559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: THOMAS LAWLEY
Title or Position: DEAN, MEDICAL SCHOOL/PROFESSOR
Credential: M.D.
Phone: 404-778-3681