GRADY MEMORIAL HOSPITAL CORPORATION
341 Ponce De Leon Ave Ne Rm 110
Atlanta, GA 30308
404-616-2466
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | GA | 7146 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2131376 | OTHER | |
937307E | GA | MEDICAID |