Organization
SAINT JOSEPH'S MERCY CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E THOMAS ANDREWS (PRESIDENT)
(404) 880-3559
Entity
Organization
Contact information
Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(404) 880-3550
(404) 880-3578
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(404) 880-3550
(404) 880-3578
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
NOT REQUIRED
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00649844A
—
GA
Enumeration date
11/29/2006
Last updated
04/16/2008
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