Provider Demographics
NPI:1114199270
Name:MOREHOUSE SCHOOL OF MEDICINE
Entity Type:Organization
Organization Name:MOREHOUSE SCHOOL OF MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OBGYN RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRUDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEIVWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-246-5287
Mailing Address - Street 1:1150 COLLIER RD NW APT C1
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2929
Mailing Address - Country:US
Mailing Address - Phone:404-350-6181
Mailing Address - Fax:
Practice Address - Street 1:1150 COLLIER RD NW APT C1
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2929
Practice Address - Country:US
Practice Address - Phone:404-350-6181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-29
Last Update Date:2008-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2008-0066282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital