NPI age
19 years
Enumerated 2007-05-23
Across 18 active psychiatry & neurology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (LA) | 1502871 | |
| 01 (LA) | 4M894F600 | MEDICARE - PTAN |
Part of a multi-provider practice. 101 other active providers share this practice address in NPPES.
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