Provider Demographics
NPI:1427669670
Name:CRAWFORD LONG HOSPITAL
Entity type:Organization
Organization Name:CRAWFORD LONG HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HOSPITAL CFO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-686-2823
Mailing Address - Street 1:550 PEACHTREE ST NE STE 1760
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2262
Mailing Address - Country:US
Mailing Address - Phone:404-686-5020
Mailing Address - Fax:404-686-3927
Practice Address - Street 1:550 PEACHTREE ST NE STE 1760
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2262
Practice Address - Country:US
Practice Address - Phone:404-686-5020
Practice Address - Fax:404-686-3927
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMORY UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-12
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy