Provider Demographics
NPI:1972758506
Name:EMORY HEALTHCARE WINSHIP CANCER INSTITUTE
Entity Type:Organization
Organization Name:EMORY HEALTHCARE WINSHIP CANCER INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OMCOLOGY NURSE MANAGER WINSHIP
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-778-3954
Mailing Address - Street 1:1365C CLIFTON RD NE
Mailing Address - Street 2:SUITE C2056
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-1900
Mailing Address - Fax:404-778-5676
Practice Address - Street 1:1365C CLIFTON RD NE
Practice Address - Street 2:SUITE C2056
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-1900
Practice Address - Fax:404-778-5676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN167522 NP261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology