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Organization

MOREHOUSE MEDICAL ASSOCIATE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASMINE S BAJNATH (CREDENTIALING MANAGER)
(404) 756-5752
Entity
Organization

Contact information

Practice address
1513 CLEVELAND AVE, 500, EAST POINT, GA 30344-6947
(404) 752-1000
Mailing address
720 WESTVIEW DR SW STE 100, ATLANTA, GA 30310-1458
(404) 756-5752
(404) 756-5274

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
51
GA

Other

Enumeration date
03/07/2007
Last updated
03/28/2018
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