Organization
EMORY PHYSICIANS GROUP, LLC
Active
Parent organization
THE EMORY CLINIC, INC
Other names
The Emory Clinic, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE EMORY CLINIC, INC
Authorized official
STEPHANIE VICENT (DIRECTOR)
(404) 778-5352
Entity
Organization
Contact information
Practice address
22 14TH STREET NW, SPACE 129, ATLANTA, GA 30309
(404) 504-6554
(404) 999-7964
Mailing address
PO BOX 102404, PASADENA, CA 91189-2404
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2014
Last updated
01/27/2020
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