# EMORY-ADVENTIST INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emory-Adventist Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770691115
- **Authorized official:** CAROL HAZEN (CFO)
- **Authorized official phone:** (770) 436-3162

## Contact information

- **Practice address:** 3949 S COBB DR SE, SMYRNA, GA 30080-6342
- **Practice address phone:** (770) 434-0710
- **Practice address fax:** (770) 432-4260
- **Mailing address:** 3949 S COBB DR SE, SMYRNA, GA 30080-6342
- **Mailing address phone:** (770) 434-0710
- **Mailing address fax:** (770) 432-4260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 033-493 | GA | Yes |

## Other

- **Enumeration date:** 08/27/2006
- **Last updated:** 07/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001702A | — | GA |
| 01 | — | 100086 | BLUE CROSS | GA |
| 01 | — | 5009000 | UNITED HEALTH CARE | GA |
