Organization
MSM HEALTH EQUITY FOR ALL LIVES STUDENT-RUN FREE CLINIC
Active
Parent organization
MOREHOUSE HEALTHCARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHOUSE HEALTHCARE, INC.
Authorized official
JASMINE BAJNATH (CREDENTIALING MANAGER)
(404) 756-1400
Entity
Organization
Contact information
Practice address
455 LEE ST, SW, ATLANTA, GA 30310
(404) 756-1209
Mailing address
720 WESTVIEW DR SW STE 275550, ATLANTA, GA 30310-1458
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/26/2021
Last updated
03/10/2021
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