Organization
GEORGIA INSTITUTE OF TECHNOLOGY
Active
Other names
Stamps Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MOORE M.D. (SENIOR DIRECTOR)
(404) 895-3256
Entity
Organization
Contact information
Practice address
740 FERST DRIVE, NW, ATLANTA, GA 30332-0470
(404) 894-1430
(404) 894-4142
Mailing address
740 FERST DRIVE, NW, ATLANTA, GA 30332-0470
(404) 894-7294
(404) 894-4142
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
PHRE005743
GA
Other
Enumeration date
03/01/2007
Last updated
07/15/2014
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