NPI age
18 years
Enumerated 2008-01-03
Across 681 active psychiatry & neurology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (MS) | 753068151 | MHP |
| 01 (MS) | 300002201 | US DEPT OF LABOR |
| 05 (MS) | 07587759 | |
| 01 | P00466198 | RR MEDICARE |
| 01 (MS) | 753068151 | MPCN |
Part of a multi-provider practice. 138 other active providers share this practice address in NPPES.
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