Basic Information
| Provider Information | |||||||||
| NPI: | 1174800114 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EMORY UNIVERSITY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4636 CEDAR WOOD DR SW | ||||||||
| Address2: | |||||||||
| City: | LILBURN | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300474285 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6784584258 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1355 CLIFTON RD NE | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303221013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4047783401 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2011 | ||||||||
| LastUpdateDate: | 11/04/2011 | ||||||||
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| AuthorizedOfficialLastName: | BUCHMAN | ||||||||
| AuthorizedOfficialFirstName: | TIM | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR CRITICAL CARE MEDICINE | ||||||||
| AuthorizedOfficialTelephone: | 4046861000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | RN080577 | GA | Y | Hospitals | General Acute Care Hospital | Critical Access |
No ID Information.