National Provider Identifier Database

GEORGIA INSTITUTE OF TECHNOLOGY
Student Health


Contact Information

GEORGIA INSTITUTE OF TECHNOLOGY
740 FERST DRIVE, NW
ATLANTA, GA30332-0470
Phone: 404-894-1430
Fax: 404-894-4142
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for GEORGIA INSTITUTE OF TECHNOLOGY

NPI Number 1396873527
Legal business name
LBN
GEORGIA INSTITUTE OF TECHNOLOGY
Authorized official GREGORY MOORE - (SENIOR DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/01/2007
Last updated 07/15/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE005743

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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