Organization
KNU-HEALTH ATLANTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DEPORTER RPH (CHIEF OPERATING OFFICER)
(978) 335-6077
Entity
Organization
Contact information
Practice address
2215 CHESHIRE BRIDGE RD NE STE C, ATLANTA, GA 30324-4234
(978) 335-6077
Mailing address
2215 CHESHIRE BRIDGE RD NE STE C, ATLANTA, GA 30324-4234
(978) 335-6077
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/12/2024
Last updated
03/17/2025
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