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Organization
CHILDREN'S HEALTHCARE OF ATLANTA
Active
Organization
CHILDREN'S HEALTHCARE OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALLORY MATHIS CARROLL RN, MSN, FNP (CARDIAC TRANSPLANT COORDINATOR)
(404) 785-6395
Entity
Organization
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6395
(404) 785-1994
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6395
(404) 785-1994
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
RN198991
GA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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