Fulton Dekalb Hospital Authority
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Atlanta, GA. Organization (NPI-2).
NPI number1982804993
StatusActive
Last updated in NPPESJun 9, 2008
Details
- NPI
- 1982804993
- Entity type
- Organization (NPI-2)
- Legal business name
- Fulton Dekalb Hospital Authority
- Organization subpart
- No
- Enumeration date
- Jul 19, 2007
- Last updated
- Jun 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | 060069 | GA | Yes |
Other names
- Grady Health System (Doing Business As)
Practice location
80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3031
Phone 404-616-6695 · Fax 404-616-3297
Mailing address
80 Jesse Hill Jr Dr SeAtlanta, GA 30303-3050
Phone 404-616-6695 · Fax 404-616-3297
Authorized official
David C Makkers
Director Of Managed Care
4046166695
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