Organization
FULTON DEKALB HOSPITAL AUTHORITY
Active
Other names
GRADY HEALTH SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C MAKKERS SR. (DIRECTOR OF MANAGED CARE)
(404) 616-6695
Entity
Organization
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-6695
(404) 616-3297
Mailing address
80 JESSE HILL JR DR SE, PO BOX 26019, ATLANTA, GA 30303-3031
(404) 616-6695
(404) 616-3297
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
060-069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000855F
—
GA
Enumeration date
09/24/2008
Last updated
09/25/2008
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