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Organization
GEORGIA INSTITUTE OF TECHNOLOGY
Active
Organization
GEORGIA INSTITUTE OF TECHNOLOGY
Active
Other names
Stamps Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MOORE M.D. (SENIOR DIRECTOR)
(404) 895-3256
Entity
Organization
Contact information
Practice address
740 FERST DRIVE, NW, ATLANTA, GA 30332-0470
(404) 894-1430
(404) 894-4142
Mailing address
740 FERST DRIVE, NW, ATLANTA, GA 30332-0470
(404) 894-7294
(404) 894-4142
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
PHRE005743
GA
Other
Enumeration date
03/01/2007
Last updated
07/15/2014
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