Organization
ASA YANCY HEALTH CENTER
Active
Other names
Grady Health System
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA MAE SCHISSEL R.N., PHD (NURSE PRACTITIONER)
(404) 616-2265
Entity
Organization
Contact information
Practice address
1247 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6657
(404) 616-2265
(404) 881-0622
Mailing address
1886 WINDEMERE DR NE, ATLANTA, GA 30324-4918
(404) 874-4609
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
R042007
GA
Other
Enumeration date
07/28/2006
Last updated
10/31/2007
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