Basic Information
| Provider Information | |||||||||
| NPI: | 1700219045 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | EMORY UNIVERSITY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 PEACHTREE ST NE | ||||||||
| Address2: | 3RD FLOOR, ROOM 3304 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303082208 | ||||||||
| CountryCode: | US | ||||||||
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| Address1: | 550 PEACHTREE ST NE | ||||||||
| Address2: | 3RD FLOOR, ROOM 3304 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303082208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4046867858 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2013 | ||||||||
| LastUpdateDate: | 08/09/2013 | ||||||||
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| AuthorizedOfficialLastName: | OYAGHA | ||||||||
| AuthorizedOfficialFirstName: | REGINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN SERVICES COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 4046867858 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | RN211348 | GA | Y | Hospitals | General Acute Care Hospital |
No ID Information.