Provider Demographics
NPI:1548433428
Name:THE MOREHOUSE SCHOOL OF MEDICINE
Entity type:Organization
Organization Name:THE MOREHOUSE SCHOOL OF MEDICINE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM CHAIR, MOREHOUSE FAMILY MED
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:S
Authorized Official - Last Name:STROTHERS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD, MMM
Authorized Official - Phone:404-756-1230
Mailing Address - Street 1:720 WESTVIEW DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-1458
Mailing Address - Country:US
Mailing Address - Phone:404-752-1500
Mailing Address - Fax:
Practice Address - Street 1:1513 CLEVELAND AVE STE 500
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-6949
Practice Address - Country:US
Practice Address - Phone:404-756-7230
Practice Address - Fax:404-752-8682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty