Georgia Institute of Technology

NPI #1396873527 in Atlanta, Georgia

Provider Information

NPI Number
1396873527
Entity Type
Organization
Organization Name
Georgia Institute of Technology
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Mar 1, 2007
Last Updated
Jul 15, 2014

Practice Location

Address
740 FERST DRIVE, NW
State
Georgia
ZIP Code
30332-0470
Phone
(404) 894-1430

Authorized Official

Name
GREGORY MOORE, M.D.
Title
SENIOR DIRECTOR
Phone
(404) 895-3256

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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