NPI age
14 years
Enumerated 2012-04-10
Across 1678 active psychiatry & neurology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 2199897 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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