Organization
GRADY MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIENNE PAULETTE PARRIS (NURSE PRACTITIONER)
(404) 616-8100
Entity
Organization
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-8100
Mailing address
6319 SOUTHLAND TRCE, STONE MOUNTAIN, GA 30087-4971
(678) 772-0057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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