Organization
GRADY HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URSULA P. WHALEN MD (CLINICAL INSTRUCTOR)
(404) 686-1606
Entity
Organization
Contact information
Practice address
49 JESSE HILL JR DR SE, FOB, DIVISION OF GENERAL MEDICINE, ATLANTA, GA 30303-3049
(404) 686-1606
Mailing address
1557 ANITA PL NE, ATLANTA, GA 30306-2201
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
54695
GA
261QP2300X
Primary Care Clinic/Center
Primary
54695
GA
261QU0200X
Urgent Care Clinic/Center
54695
GA
282N00000X
General Acute Care Hospital
54695
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54695
MEDICAL LICENSE
GA
Enumeration date
09/14/2006
Last updated
03/07/2023
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