NPI age
17 years
Enumerated 2008-06-08
Across 1678 active psychiatry & neurology providers in Georgia.
20 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 055280 | STATE LICENSE |
| 05 (PA) | MD429169 |
Multi-provider organization. 20 individual providers on file at this primary address.
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