Organization
MOREHOUSE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BAJNATH (CREDENTIALING MANAGER)
(404) 756-5752
Entity
Organization
Contact information
Practice address
455 LEE ST SW STE 300, ATLANTA, GA 30310-1408
(404) 756-1241
(404) 756-1237
Mailing address
720 WESTVIEW DR SW STE 100, ATLANTA, GA 30310-1458
(404) 756-5752
(404) 756-5274
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TF0000X
Family Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/26/2007
Last updated
06/14/2023
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