NPI age
20 years
Enumerated 2006-05-11
Across 681 active psychiatry & neurology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 500625107B | |
| 05 (TN) | 3731622 | |
| 01 (GA) | 500625107A | MEDICAID |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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