MEDICARE: GEORGIA BAPTIST COLLEGE OF NURSING OF MERCER UNIVERSITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency	RN185242	GA

General Provider Information

NPI Number	:	1487893756
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA BAPTIST COLLEGE OF NURSING OF MERCER UNIVERSITY

Provider Business Mailing Address
First Line	:	3001 MERCER UNIVERSITY DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4115
Country	:	US
Telephone Number	:	678-547-6701
Fax Number	:	678-547-6777

Provider Business Practice Location Address
First Line	:	3001 MERCER UNIVERSITY DR
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4115
Country	:	US
Telephone Number	:	678-547-6701
Fax Number	:	678-547-6777

Authorized Official
Title or Position	:	DEAN
Name	:	SUSAN S. GUNBY
Credential	:
Telephone Number	:	678-547-6798

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	02/11/2009

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