Organization
EMORY JOHNS CREEK CARDIAC DIAGNOSTICS
Active
Parent organization
EHCA JOHNS CREEK HOLDINGS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EHCA JOHNS CREEK HOLDINGS LLC
Authorized official
KATHI LANGLOIS RN (DIRECTOR)
(678) 957-9935
Entity
Organization
Contact information
Practice address
10700 MEDLOCK BRIDGE RD, SUITE 101, JOHNS CREEK, GA 30097-8456
(678) 957-9935
(678) 957-9954
Mailing address
10700 MEDLOCK BRIDGE RD, SUITE 101, JOHNS CREEK, GA 30097-8456
(678) 957-9935
(678) 957-9954
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0800003824
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511G470017
MEDICARE BILLING NUMBER
GA
Enumeration date
08/20/2008
Last updated
08/21/2008
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