Organization
ATLANTA HOSPITAL AUTHORITY
Active
Other names
Atlanta Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM CROW (ADMINISTRATOR/CEO)
(903) 799-3000
Entity
Organization
Contact information
Practice address
1007 S WILLIAM ST, ATLANTA, TX 75551-3245
(903) 799-3000
(903) 799-3005
Mailing address
1007 S WILLIAM ST, ATLANTA, TX 75551-3245
(903) 799-3000
(903) 799-3005
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C81J
BLUE CROSS BLUE SHIELD
TX
05
—
133255301
—
TX
Enumeration date
11/01/2006
Last updated
02/03/2011
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