Organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....
Active
Parent organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....
Other names
Student Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....
Authorized official
DR. SUSAN MARIE WHITMER MD (MEDICAL DIRECTOR)
(404) 413-1930
Entity
Organization
Contact information
Practice address
141 PIEDMONT AVE NE STE D, ATLANTA, GA 30303-2417
(404) 413-1930
(404) 413-1955
Mailing address
PO BOX 3996, ATLANTA, GA 30302-3996
(404) 413-1930
(404) 413-1955
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639373426
NPI
—
Enumeration date
07/19/2022
Last updated
07/19/2022
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