NPI age
13 years
Enumerated 2012-06-12
Across 17 active psychiatry & neurology providers in Georgia.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 103065010 |
Part of a multi-provider practice. 45 other active providers share this practice address in NPPES.
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