Organization
EMORY UNIVERSITY
Active
Other names
Emory Genetics Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LAWLEY M.D. (DEAN, MEDICAL SCHOOL/PROFESSOR)
(404) 778-3681
Entity
Organization
Contact information
Practice address
2165 N DECATUR RD, DECATUR, GA 30033-5307
(404) 778-8500
(404) 778-8559
Mailing address
2165 N DECATUR RD, DECATUR, GA 30033-5307
(404) 778-8500
(404) 778-8559
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10044376
AMERIGROUP
GA
01
—
104146
PEACH STATE HEALTH PLAN
GA
01
—
326448
WELLCARE
GA
01
—
427837
BC/BS
GA
01
—
515449
AETNA HMO
GA
01
—
5293670
AETNA PPO & CHOICE
GA
Enumeration date
01/11/2006
Last updated
03/27/2008
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