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Contact Information

GRADY MEMORIAL HOSPITAL CORPORATION
4007 FLAT SHOALS PKWY
DECATUR, GA30034
 Phone: 404-616-5711
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRADY MEMORIAL HOSPITAL CORPORATION

NPI # 1912860479
LBN Legal business name GRADY MEMORIAL HOSPITAL CORPORATION
Authorized official MARY KATHERINE CHEELEY - (EXECUTIVE DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/03/2025
Last updated 12/03/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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