# EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC.

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

## Provider details

- **NPI number:** 1558416701
- **Authorized official:** LOUETTA CODY (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (404) 785-7876

## Contact information

- **Practice address:** 1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
- **Practice address phone:** (404) 785-6000
- **Mailing address:** 1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329-2401
- **Mailing address phone:** (404) 785-7876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | — | NULL | — |
| 363LP0200X | Pediatric Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 03/28/2023