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Organization

EMORY MEDICAL CARE FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOROTHY COOK-WALTER (DIRECTOR)
(404) 778-2144
Entity
Organization

Contact information

Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 778-5014
(404) 778-4819
Mailing address
101 W PONCE DE LEON AVE, DECATUR, GA 30030-2542
(404) 778-5014
(404) 778-4819

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
207Y00000X
Otolaryngology Physician
207YP0228X
Pediatric Otolaryngology Physician
207YS0123X
Facial Plastic Surgery Physician
207YX0901X
Otology & Neurotology Physician
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
208600000X
Surgery Physician
2086S0102X
Surgical Critical Care Physician
2086S0120X
Pediatric Surgery Physician
2086S0122X
Plastic and Reconstructive Surgery Physician
2086S0127X
Trauma Surgery Physician
208800000X
Urology Physician

Other

Enumeration date
08/04/2008
Last updated
08/05/2008
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