Organization
MERCY HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANISHUA M ROBERTS (BILLING MANAGER)
(404) 933-8501
Entity
Organization
Contact information
Practice address
945 LINSLEY WAY, STONE MOUNTAIN, GA 30087-6083
(404) 933-8501
Mailing address
945 LINSLEY WAY, STONE MOUNTAIN, GA 30087-6083
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000891514B
—
GA
Enumeration date
06/29/2015
Last updated
06/29/2015
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