Organization · Type 2 NPI

Emory Physicians Group, LLC

Clinic/Center · Atlanta, GA

NPI number 1548680796 Active

Practice location

22 14th Street NW, Space 129
Atlanta, GA 30309

Call (404) 504-6554 Map

Fax (404) 999-7964

Mailing address

PO Box 102404
Pasadena, CA 91189-2404

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1548680796
Entity type: Organization (Type 2)
Issued: Apr 25, 2014
Last updated: Jan 27, 2020
Status: Active
Subpart: Yes of The Emory Clinic, Inc

Other names

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The Emory Clinic, Inc. · doing business as
The Emory Clinic, Inc. · doing business as

Authorized official

Stephanie Vicent
Director
(404) 778-5352

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About NPI 1548680796

Emory Physicians Group, LLC's National Provider Identifier is 1548680796, issued on Apr 25, 2014. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 27, 2020.