| Saint Joseph's Mercy Care - Mary Hall Freedom House | |
|
200 Hannover Park Rd Ste 100 Atlanta GA 30350-1899 | |
| (678) 843-8500 | |
| (678) 843-8601 |
| Full Name | Saint Joseph's Mercy Care - Mary Hall Freedom House |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 Hannover Park Rd Ste 100, 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 - Mary Hall Freedom House 424 Decatur St Se Atlanta GA 30312-1848 Ph: (678) 843-8600 | Saint Joseph's Mercy Care - Mary Hall Freedom House 200 Hannover Park Rd Ste 100 Atlanta GA 30350-1899 Ph: (678) 843-8500 |
| NPI Number | 1003058967 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003058967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
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