# GEORGIA REGIONAL HOSPITAL

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

## Provider details

- **NPI number:** 1407137250
- **Authorized official:** DR. EMILE RISBY MD (CLINICAL DIRECTOR)
- **Authorized official phone:** (404) 243-2100

## Contact information

- **Practice address:** 3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
- **Practice address phone:** (404) 243-2100
- **Practice address fax:** (404) 212-4702
- **Mailing address:** 3073 PANTHERVILLE ROAD, DECATUR, GA 30034-3828
- **Mailing address phone:** (404) 243-2100
- **Mailing address fax:** (404) 212-4702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | RN119661 CNS/PMH | GA | Yes |

## Other

- **Enumeration date:** 09/07/2011
- **Last updated:** 09/07/2011