Provider Demographics
NPI:1154530673
Name:METROPOLITAN MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:METROPOLITAN MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:HARRELL
Authorized Official - Last Name:GUNN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:404-768-4343
Mailing Address - Street 1:2150 METROPOLITAN PKWY SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-6220
Mailing Address - Country:US
Mailing Address - Phone:404-768-4343
Mailing Address - Fax:404-768-4122
Practice Address - Street 1:2150 METROPOLITAN PKWY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-6220
Practice Address - Country:US
Practice Address - Phone:404-768-4343
Practice Address - Fax:404-768-4122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015474261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health