Provider Demographics
NPI:1417194184
Name:EMORY UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:EMORY UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACNP
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:BORNGESSER
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP
Authorized Official - Phone:770-301-4562
Mailing Address - Street 1:5 CRESCENT CIR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-3844
Mailing Address - Country:US
Mailing Address - Phone:770-301-4562
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-712-5381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN145461282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital