Organization
EMORY-ADVENTIST INC
Active
Other names
Emory-Adventist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HAZEN (CFO)
(770) 436-3162
Entity
Organization
Contact information
Practice address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-0710
(770) 432-4260
Mailing address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-0710
(770) 432-4260
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
033-493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001702A
—
GA
01
—
100086
BLUE CROSS
GA
01
—
5009000
UNITED HEALTH CARE
GA
Enumeration date
08/27/2006
Last updated
07/23/2010
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