institution
Scottish Rite Childrens Medical Ctr
Children's Hospital in Atlanta, Georgia
NPI 1922178789

Scottish Rite Childrens Medical Ctr is a Children's Hospital based in Brookhaven, GA and is specialized in Children. Scottish Rite Childrens Medical Ctr practices in Atlanta, GA. The NPI Number for Scottish Rite Childrens Medical Ctr is 1922178789 and holds a License No. 060-303 (Georgia).

The current practice location address for Scottish Rite Childrens Medical Ctr is 1001 Johnson Ferry Rd Ne, Atlanta, GA and can be reached out via phone at 404-785-5252. You can also correspond with Scottish Rite Childrens Medical Ctr through the mailing address at 1575 NORTHEAST EXPY NE, BROOKHAVEN, GA - 30329-2401 (mailing address contact number: 404-785-7876).

Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA, 30329-2401
institution
Provider Profile Details
NPI Number
1922178789
Provider Name
Scottish Rite Childrens Medical Ctr
Credential
Provider Entity Type
Organization
Address
1001 Johnson Ferry Rd Ne, Atlanta, GA, 30329-2401
Phone Number
404-785-5252
Fax Number
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000001636A 01 GA PEACH STATE PROVIDER ID
000001636A 05 GA
1000062 01 GA AMERIGROUP PROVIDER ID
21316 01 GA WELLCARE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
1001 Johnson Ferry Rd Ne
City
State
Zip
30342-1605
Phone Number
404-785-5252
Fax Number
person
Provider Business Mailing Address Details
Address
1575 Northeast Expy Ne
City
State
Zip
30329-2401
Phone Number
404-785-7876
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Children
Taxonomy
License No.
060-303 (Georgia)
Definition
Definition to come...
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