# ONE GRADY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRADY MEMORIAL HOSPITAL CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942967559
- **Legal business name:** GRADY MEMORIAL HOSPITAL CORPORATION
- **Authorized official:** OCHINA R HARRIS (MANAGER, PROVIDER ENROLLMENT)
- **Authorized official phone:** (404) 616-2219

## Contact information

- **Practice address:** 80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
- **Practice address phone:** (404) 616-1000
- **Mailing address:** 80 JESSE HILL JR DR SE \# 26159, ATLANTA, GA 30303-3031
- **Mailing address phone:** (404) 616-5413
- **Mailing address fax:** (404) 489-6975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2021
- **Last updated:** 11/18/2021