# EMORY HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205939691
- **Authorized official:** MR. GEORGE M KANDRACH P.A. (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (404) 778-5040

## Contact information

- **Practice address:** 1365 CLIFTON RD NE, SUITE A2200, ATLANTA, GA 30322-1013
- **Practice address phone:** (404) 778-5040
- **Practice address fax:** (404) 778-4346
- **Mailing address:** 1365 CLIFTON RD NE, SUITE A2200, ATLANTA, GA 30322-1013
- **Mailing address phone:** (404) 778-5040
- **Mailing address fax:** (404) 778-4346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 000262 | GA | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/22/2020
