Organization
RL BROWN JR GRADY HEALTH CENTER AT HARTSFIELD JACKSON AIRPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH E TAYLOR (VICE PRESIDENT)
(404) 616-4930
Entity
Organization
Contact information
Practice address
6000 NORTH TERMINAL PARKWAY, ATRIUM SUITE 375, ATLANTA, GA 30320
(404) 616-6000
(404) 768-3990
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-6000
(404) 768-3990
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
060-069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
987203
COVENTRY PROVIDER NUMBER
GA
Enumeration date
01/26/2007
Last updated
08/22/2020
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