Organization
MOREHOUSE HEALTHCARE, INC.
Active
Parent organization
MOREHOUSE HEALTHCARE, INC.
Other names
Morehouse Healthcare Health & Wellness Center (2nd floor)
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHOUSE HEALTHCARE, INC.
Authorized official
JASMINE S BAJNATH (CREDENTIALING MANAGER)
(404) 756-1400
Entity
Organization
Contact information
Practice address
455 LEE STREET, 2ND FLOOR, ATLANTA, GA 30310
(404) 756-1400
Mailing address
455 LEE STREET, 2ND FLOOR, ATLANTA, GA 30310
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RA0002X
Adult Congenital Heart Disease Physician
—
—
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RN0300X
Nephrology Physician
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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