Contract Details
Facility name
Shepherd Center
Provider ID
P000002570
NPI
1043311715
Tax ID
510141601
Effective Date
6/15/2008
Last Updated
7/23/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_389
Location Details
Address
2020 Peachtree Road Northwest
Atlanta, GA 30309
United States
County
Fulton
Phone
4043522020 (Phone)
Billing Details
Address
2020 Peachtree Road Northwest
Atlanta, GA 30309
Billing Phone
4043522020
Specialty Type
Hospital, Rehabilitation
Map
Address