MEDICARE: EHCA DUNWOODY, LLC

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	282N00000X	General Acute Care Hospital

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

General Provider Information

NPI Number	:	1740234400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EHCA DUNWOODY, LLC

Provider Business Mailing Address
First Line	:	1 PARK PLZ
Second Line	:	REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W
City	:	NASHVILLE
State	:	TN
Zip	:	37203-6527
Country	:	US
Telephone Number	:	678-421-7909
Fax Number	:	770-454-4279

Provider Business Practice Location Address
First Line	:	4575 N SHALLOWFORD RD
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30338-6445
Country	:	US
Telephone Number	:	678-421-7909
Fax Number	:	770-454-4279

Authorized Official
Title or Position	:	CFO
Name	:	SUSAN SATTERFIELD
Credential	:
Telephone Number	:	678-421-7909

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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Directions to “EHCA DUNWOODY, LLC ” Practice Location

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