Organization
HEMOPHILIA OF GEORGIA
Active
Other names
HEMOPHILIA OF GEORGIA
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH A ROSATO (CEO)
(770) 518-8272
Entity
Organization
Contact information
Practice address
8607 ROBERTS DR STE 150, SANDY SPRINGS, GA 30350-2237
(770) 518-8272
(770) 518-3310
Mailing address
8607 ROBERTS DR STE 150, SANDY SPRINGS, GA 30350-2237
(770) 518-8272
(770) 518-3310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHRE007480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00528393A
—
GA
01
—
2018678
PK
—
Enumeration date
05/24/2005
Last updated
06/05/2020
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