NPI age
19 years
Enumerated 2006-08-20
Across 681 active psychiatry & neurology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000178637F | |
| 01 (GA) | 13DDMF | MEDICARE ID |
| 01 (GA) | 016878 | LICENSE |
Part of a multi-provider practice. 81 other active providers share this practice address in NPPES.
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