Grady Health System

NPI 1013211564 - General Acute Care Hospital - 282NC0060X

NPI Details
NPI 1013211564
Enumeration Date 12/26/2010
Last Updated 12/26/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LATOYA BOOTH LATOYA
Position ANESTHETIST
Phone (404) 379-7052
Fax
Practice Location
180 VICTORIA DR
FAYETTEVILLE GA, 30214-1163, US
Phone (404) 379-7052
Fax
Business Location
180 VICTORIA DR
FAYETTEVILLE GA, 30214-1163, US
Phone (404) 379-7052
Fax
Toxanomy
Taxonomy Code 282NC0060X
License State Georgia
License Number 161834
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According to our database, Grady Health System NPI is 1013211564, taxonomy code is 282NC0060X and license number is 161834, license state is located at Georgia. Grady Health System physically located at 180 Victoria Dr, Fayetteville GA, 30214-1163. NPI Number 1033115704 has the healthcare provider type.

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1013211564 NPI number is provided on an as is basis without warranty of any kind. 1013211564 is maintained by the National Plan & Provider Enumeration System. The contents of Grady Health System are for informational purposes only.