Organization
GEORGIA REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILE RISBY MD (CLINICAL DIRECTOR)
(404) 243-2100
Entity
Organization
Contact information
Practice address
3073 PANTHERSVILLE RD, DECATUR, GA 30034-3828
(404) 243-2100
(404) 212-4702
Mailing address
3073 PANTHERVILLE ROAD, DECATUR, GA 30034-3828
(404) 243-2100
(404) 212-4702
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN119661 CNS/PMH
GA
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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