Organization
KNU-HEALTH ATLANTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DEPORTER (CHIEF OPERATING OFFICER)
(978) 335-6077
Entity
Organization
Contact information
Practice address
2215 CHESHIRE BRIDGE RD NE STE C, ATLANTA, GA 30324-4234
(844) 552-5689
Mailing address
2215 CHESHIRE BRIDGE RD NE STE C, ATLANTA, GA 30324-4234
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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