NPI age
11 years
Enumerated 2014-06-30
Across 1678 active psychiatry & neurology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003206806A | |
| 01 (GA) | 080106 | MEDICAL LICENSE |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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