The Emory Clinic

NPI 1285912600 - Clinic/Center - 261QA1903X

NPI Details
NPI 1285912600
Enumeration Date 08/02/2011
Last Updated 08/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DONALD DONALD
Position COO
Phone (706) 812-9902
Fax
Practice Location
1805 VERNON RD
SUITE C, AMBULATORY SURGERY CENTER
LAGRANGE GA, 30240-3871, US
Phone (706) 812-9902
Fax
Business Location
1365 CLIFTON RD NE
BUILDING A, 5TH FLOOR CLINIC ADMINISTRATION
ATLANTA GA, 30322-1013, US
Phone (404) 778-5639
Fax
Toxanomy
Taxonomy Code 261QA1903X
License State Georgia
License Number 141136
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According to our database, The Emory Clinic NPI is 1285912600, taxonomy code is 261QA1903X and license number is 141136, license state is located at Georgia. The Emory Clinic physically located at 1805 Vernon Rd, Lagrange GA, 30240-3871. NPI Number 1033115704 has the healthcare provider type.

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1285912600 NPI number is provided on an as is basis without warranty of any kind. 1285912600 is maintained by the National Plan & Provider Enumeration System. The contents of The Emory Clinic are for informational purposes only.