NPI age
15 years
Enumerated 2010-12-16
Across 1678 active psychiatry & neurology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I265217 | MEDICARE PTAN |
| 05 (GA) | 136071824E |
Single-site organization. Only one practice location on file.
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