NPI age
10 years
Enumerated 2015-06-22
Across 681 active psychiatry & neurology providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (KY) | 55785 | KY MEDICAL LICENSE |
| 01 (IL) | 036.152567 | LICENSE IL |
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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