Organization
SAINT JOSEPH'S MERCY CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E THOMAS ANDREWS JR. (PRESIDENT)
(678) 843-8502
Entity
Organization
Contact information
Practice address
3367 BUFORD HWY NE, SUITE 910, ATLANTA, GA 30329-1709
(678) 843-8700
(404) 633-0502
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8500
(678) 843-8501
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00649844B
—
GA
Enumeration date
07/21/2005
Last updated
01/31/2011
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