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Organization
ONE GRADY, LLC
Active
Organization
ONE GRADY, LLC
Active
Parent organization
GRADY MEMORIAL HOSPITAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRADY MEMORIAL HOSPITAL CORPORATION
Authorized official
OCHINA R HARRIS (MANAGER, PROVIDER ENROLLMENT)
(404) 616-2219
Entity
Organization
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
80 JESSE HILL JR DR SE # 26159, ATLANTA, GA 30303-3031
(404) 616-5413
(404) 489-6975
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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