Organization
GRADY MEMORIAL HOSPITAL CORPORATION
Active
Parent organization
GRADY MEMORIAL HOSPITAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRADY MEMORIAL HOSPITAL CORPORATION
Authorized official
TAMARA ANNE NILMEIER (DIRECTOR OF REVENUE CYCLE)
(404) 616-8880
Entity
Organization
Contact information
Practice address
3896 PRINCETON LAKES WAY, ATLANTA, GA 30331
(404) 616-8880
Mailing address
80 JESSE HILL JR DR SE # 26042, ATLANTA, GA 30303-3031
(404) 616-8880
(404) 489-6920
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060-641
BUSINESS PERMIT
GA
Enumeration date
06/22/2018
Last updated
06/22/2018
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