Provider Demographics
NPI:1073937892
Name:EMORY UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:EMORY UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF NURSE
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KIMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-989-2954
Mailing Address - Street 1:5207 PEACHTREE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-5364
Mailing Address - Country:US
Mailing Address - Phone:404-989-2954
Mailing Address - Fax:
Practice Address - Street 1:5207 PEACHTREE CREEK CIR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30341-5364
Practice Address - Country:US
Practice Address - Phone:404-989-2954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN189117282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital