Healthcare Provider Details

I. General information

NPI: 1548433428
Provider Name (Legal Business Name): THE MOREHOUSE SCHOOL OF MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 09/06/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 CLEVELAND AVE STE 500
EAST POINT GA
30344-6949
US

IV. Provider business mailing address

720 WESTVIEW DR SW
ATLANTA GA
30310-1458
US

V. Phone/Fax

Practice location:
  • Phone: 404-756-7230
  • Fax: 404-752-8682
Mailing address:
  • Phone: 404-752-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HARRY S. STROTHERS III
Title or Position: INTERIM CHAIR, MOREHOUSE FAMILY MED
Credential: M.D., MMM
Phone: 404-756-1230