Provider Demographics
NPI:1063726339
Name:GRADY MEMORIAL HOSPITAL CORPORATION
Entity type:Organization
Organization Name:GRADY MEMORIAL HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER/ENROLLMENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:NILMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-616-8880
Mailing Address - Street 1:80 JESSE HILL JR DR SE
Mailing Address - Street 2:BOX 26042
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3031
Mailing Address - Country:US
Mailing Address - Phone:404-616-8880
Mailing Address - Fax:404-616-9076
Practice Address - Street 1:80 JESSE HILL JR DR SE
Practice Address - Street 2:BOX 26042
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3031
Practice Address - Country:US
Practice Address - Phone:404-616-8880
Practice Address - Fax:404-616-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance