NPI age
18 years
Enumerated 2007-07-02
Across 681 active psychiatry & neurology providers in Georgia.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 114802799A |
Part of a multi-provider practice. 37 other active providers share this practice address in NPPES.
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