MEDICARE: GRADY MEMORIAL HOSPITAL CORPORATION

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	004189	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2131380	OTHER		PK

General Provider Information

NPI Number	:	1619982261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRADY MEMORIAL HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	PHARMACY ADMINISTRATION-26041
Second Line	:	80 JESSE HILL JR DRIVE
City	:	ATLANTA
State	:	GA
Zip	:	30303
Country	:	US
Telephone Number	:	404-616-3576
Fax Number	:	404-616-6070

Provider Business Practice Location Address
First Line	:	1247 DONALD LEE HOLLOWELL PKWY NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-6657
Country	:	US
Telephone Number	:	404-616-9951
Fax Number	:	404-616-1184

Authorized Official
Title or Position	:	DIRECTOR OF PHARMACY ADMINISTRATION
Name	:	VALAURA HALLMAN
Credential	:	RPH
Telephone Number	:	404-616-3576

Provider Enumeration Date	:	07/30/2006
Last Update Date	:	02/10/2016

Similar Medicare Providers

1366442238 — SUJATA BHOWMIK MD
Practice Location Address:

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
30318-6657

Practice Phone: 404-616-9794
Practice Fax: 404-616-2825

1912992942 — DR. MICHELLE L TODD MD
Practice Location Address:

1247 DONALD LEE HOLLOWELL PKWY NW , ASA G. YANCEY, SR., M.D. HEALTH CENTER
ATLANTA, GA
30318-6657

Practice Phone: 404-616-2265
Practice Fax: 404-616-2825

1447264163 — ASA YANCY HEALTH CENTER
Practice Location Address:

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
30318-6657

Practice Phone: 404-616-2265
Practice Fax: 404-881-0622

1659387546 — MS. MARION HUGHES LCSW
Practice Location Address:

1249 DONALD LEE HOLLOWELL PKWY NW , 3 RD FLOOR
ATLANTA, GA
30318-6657

Practice Phone: 404-870-3675
Practice Fax: 404-870-3697

1285746867 — RENEE A. WHEELER D.O.
Practice Location Address:

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
30318-6657

Practice Phone: 404-616-2265
Practice Fax:

1407951049 — DR. BETTI JO STEELE M.D.
Practice Location Address:

1247 DONALD LEE HOLLOWELL PKWY NW
ATLANTA, GA
30318-6657

Practice Phone: 404-616-2265
Practice Fax: 404-881-0622

Directions to “GRADY MEMORIAL HOSPITAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.