# GEORGIA GIFTS FROM GRACE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Georgia Gifts from Grace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083990501
- **Authorized official:** MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
- **Authorized official phone:** (404) 265-5009

## Contact information

- **Practice address:** 2500 HOSPITAL BLVD, SUITE 290, ROSWELL, GA 30076-4907
- **Practice address phone:** (770) 622-5889
- **Practice address fax:** (770) 622-5890
- **Mailing address:** PO BOX 741908, ATLANTA, GA 30374-1908
- **Mailing address phone:** (770) 622-5889
- **Mailing address fax:** (770) 622-5890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2011
- **Last updated:** 06/07/2016