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NPI 1992164495

OrganizationActive

Emory Healthcare

NPI 1992164495 · Oncology Clinic/Center · Atlanta, GA

Provider details

NPI number: 1992164495
Entity type: Organization
Primary specialty: Oncology Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Greta Russler, Nurse Practitioner
License: RN240539 (GA)

Practice location

791 Wylie St Se

102

Atlanta, GA 30316-7200

Phone: (404) 788-4396

More GA providers

Mailing address

791 Wylie St Se

Atlanta, GA 30316-7200

Registry dates

Enumerated: 2016-02-12
Last updated: 2016-03-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Emory Healthcare — NPI 1992164495, Atlanta, GA | NPI Central