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Organization

ONE GRADY, LLC

Active
Parent organization
GRADY MEMORIAL HOSPITAL CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
GRADY MEMORIAL HOSPITAL CORPORATION
Authorized official
OCHINA R HARRIS (MANAGER, PROVIDER ENROLLMENT)
(404) 616-2219
Entity
Organization

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
80 JESSE HILL JR DR SE # 26159, ATLANTA, GA 30303-3031
(404) 616-5413
(404) 489-6975

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
11/18/2021
Last updated
11/18/2021
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