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General NPI Number Information
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NPI Number | 1932830668
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Entity Type | Organization
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Legal Business Name | EMORY UNIVERSITY HOSPITAL MIDTOWN
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Dates
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Enumeration Date | 06/22/2022
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Last Update Date | 06/10/2023
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Provider Practice Location Address
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Address Line | 550 PEACHTREE ST NE
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City | ATLANTA
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State | GA
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Zip | 30308-2212
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Country | US
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Telephone | 470-992-3658
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Fax | 470-264-7038
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Provider Business Mailing Address
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Address Line | PO BOX 371795
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City | DECATUR
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State | GA
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Zip | 30037-1795
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Country | US
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Telephone |
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Fax | 470-264-7038
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ZYQUEZE HINES
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Credential | MPH, MD
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Telephone | 470-922-3658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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