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NPI 1558374322

NPI 1558374322 : EMORY CHILDRENS CENTER : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1558374322
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMORY CHILDRENS CENTER 
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Dates
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    Enumeration Date     |    08/14/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2015 UPPER GATE DR NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30322-1014
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    Country              |    US
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    Telephone            |    404-727-5140
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    Fax                  |    404-778-7620
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Provider Business Mailing Address
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    Address Line         |    2015 UPPER GATE DR NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30322-1014
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    Country              |    US
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    Telephone            |    404-727-5140
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    Fax                  |    404-778-7620
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Authorized Official
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    Title or Position    |    DIRECTOR PATIENT ACCOUNTS
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    Name                 |     KATHY D THORNTON 
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    Credential           |    
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    Telephone            |    404-778-7673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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