NPI age
16 years
Enumerated 2009-06-24
Across 681 active psychiatry & neurology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | M1897 | MEDICARE |
| 05 (FL) | 102015500 | |
| 05 (LA) | 2376420 |
Part of a multi-provider practice. 362 other active providers share this practice address in NPPES.
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