Healthcare services provided; or Payment for healthcare Includes all communication media-written, electronic and verbal. Extends to all individually identifiable health information in the hands of Emory Healthcare. D Identifiers of Protected PHI Name Address Zip Names of relatives Name of employer DOB Telephone number Fax number E-mail address.
Emory Clinic at 1365 Clifton Road. 1365 Clifton Road Northeast, Bldg A, Fl 3, Atlanta, GA 30322 (Map) 404-778-5380.
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Employer Identification Number 90-0180674. EMORY HEALTHCARE, INC. is a USA domiciled entity or foreign entity operating in the USA. The EIN ihas been issued by the IRS. Company.
Medical Records: 404.712.1575; Patient Relations: 404.778.3539; Patient Financial Services: 404.778.7318; Department of Emergency Medicine Clinical Operations Manager. Amber Cassel Manager, Clinic Operations Phone: 404-712-0016.
Graduated or former students will need to complete a Medical Records Release Form. After completing the form, then either mail, fax, or email/attach your request: The mailing address is: Emory University Student Health Services, ATTN: Medical Records, 1525 Clifton Rd, Atlanta, GA 30322. The Fax number is: 404-727-5349..
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