NPI age
19 years
Enumerated 2006-10-03
Across 196 active psychiatry & neurology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 030423 | GA LICENSE |
| 01 (NC) | 32430 | NC LICENSE |
| 01 (SC) | 14738 | SC LICENSE |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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