NPI age
20 years
Enumerated 2005-12-08
Across 1678 active psychiatry & neurology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000606284H | |
| 05 (GA) | 300030912A | |
| 01 (GA) | 582109771 | TAX ID |
Part of a multi-provider practice. 139 other active providers share this practice address in NPPES.
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