NPI age
19 years
Enumerated 2006-06-10
Across 1678 active psychiatry & neurology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 059121 | GA STATE LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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