Organization
MOREHOUSE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE S BAJNATH (CREDENTIALING MANAGER)
(404) 756-5752
Entity
Organization
Contact information
Practice address
1800 HOWELL MILL RD NW, SUITE 550, ATLANTA, GA 30318-2538
(404) 756-1400
(404) 756-1402
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
208000000X
Pediatrics Physician
Primary
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/01/2015
Last updated
03/10/2021
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