Provider Demographics
NPI:1558943563
Name:THE HEAL CAMPAIGN INC
Entity Type:Organization
Organization Name:THE HEAL CAMPAIGN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FFOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:III
Authorized Official - Credentials:MPH
Authorized Official - Phone:404-457-3304
Mailing Address - Street 1:3344 PEACHTREE RD NE STE 800
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-4807
Mailing Address - Country:US
Mailing Address - Phone:404-457-3304
Mailing Address - Fax:
Practice Address - Street 1:909 N 5TH AVE NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2706
Practice Address - Country:US
Practice Address - Phone:404-457-3304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1821364811Medicaid