NPI age
19 years
Enumerated 2006-10-26
Across 1678 active psychiatry & neurology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 260027763 | RAILROAD MEDICARE |
| 01 (GA) | 029634 | GEORGIA LICENSE |
| 05 (GA) | 000380179D |
Part of a multi-provider practice. 43 other active providers share this practice address in NPPES.
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