Organization
EMORY MEDICAL CARE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY COOK-WALTER (DIRECTOR)
(404) 778-2144
Entity
Organization
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-5014
(404) 778-4819
Mailing address
101 W PONCE DE LEON AVE, DECATUR, GA 30030-2542
(404) 778-5014
(404) 778-4819
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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