Organization
MOREHOUSE HEALTHCARE, INC.
Active
Parent organization
MOREHOUSE HEALTHCARE, INC.
Other names
Morehouse Healthcare Imaging Services (3rd floor)
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHOUSE HEALTHCARE, INC.
Authorized official
JASMINE BAJNATH (CREDENTIALING MANAGER)
(404) 756-1400
Entity
Organization
Contact information
Practice address
455 LEE STREET, 3RD FLOOR, ATLANTA, GA 30310
(404) 756-1400
Mailing address
455 LEE STREET, 3RD FLOOR, ATLANTA, GA 30310
(404) 756-1400
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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