EMORY HEALTHCARE INC. NPI 1205939691

NPI Information

NPI: 1205939691
Provider Name: EMORY HEALTHCARE, INC.
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

CLIA Number: 11D1002962

Address:
1365 CLIFTON RD NE
SUITE A2200
ATLANTA, GA
ZIP 30322
Phone: (404) 778-5040
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EMORY HEALTHCARE, INC. is a surgical physician assistant in Atlanta, GA. EMORY HEALTHCARE, INC. NPI is 1205939691. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1365 CLIFTON RD NE
SUITE A2200
ATLANTA, GA
ZIP 30322-013
Phone: (404) 778-5040
Fax: (404) 778-4346

The provider's authorized official is George M Kandrach .
The authorized official title is Physician Assistant and has the following contact phone number (404) 778-5040.

The CLIA number assigned to this NPI record is 11D1002962 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	000262	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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