Organization
MOREHOUSE MEDICINE INC.
Active
Organization
MOREHOUSE MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE BAJNATH (CREDENTIALING MANAGER)
(404) 756-5752
Entity
Organization
Contact information
Practice address
455 LEE ST SW FL 2, ATLANTA, GA 30310-1408
(404) 752-1000
(404) 752-1922
Mailing address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1000
(404) 752-1922
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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