| Saint Joseph's Mercy Care - Jefferson Place | |
|
1135 Jefferson St Nw Atlanta GA 30318-8009 | |
| (678) 843-8500 | |
| Not Available |
| Full Name | Saint Joseph's Mercy Care - Jefferson Place |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1135 Jefferson St Nw, Atlanta, Georgia |
| Authorized Official Name and Position | Thomas E. Andrews (PRESIDENT) |
| Authorized Official Contact | 6788438503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph's Mercy Care - Jefferson Place 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 | Saint Joseph's Mercy Care - Jefferson Place 1135 Jefferson St Nw Atlanta GA 30318-8009 Ph: (678) 843-8500 |
| NPI Number | 1144462003 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144462003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
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