Organization
GRADY HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETRA SEALY (PHYSICIAN ASSISTANT)
(770) 323-3566
Entity
Organization
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-3678
Mailing address
6805 TREEHILLS PKWY, STONE MOUNTAIN, GA 30088-4606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
003806
GA
Other
Enumeration date
05/03/2006
Last updated
08/06/2008
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