Organization
MARCUS AUTISM CENTER
Active
Parent organization
CHILDREN'S HEALTHCARE OF ATLANTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S HEALTHCARE OF ATLANTA
Authorized official
DAVID JAQUESS PHD (PROGRAM DIRECTOR)
(404) 785-9443
Entity
Organization
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9400
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003405
GA
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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