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PSYCHIATRIC MEDICAL SPECIALIST OF ATLANTA NPI 1871790410


NPI Information

NPI: 1871790410
Provider Name: PSYCHIATRIC MEDICAL SPECIALIST OF ATLANTA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4015 S COBB DR SE STE 10
SMYRNA, GA
ZIP 30080
Phone: (770) 874-6100
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PSYCHIATRIC MEDICAL SPECIALIST OF ATLANTA is a specialist in Smyrna, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PSYCHIATRIC MEDICAL SPECIALIST OF ATLANTA NPI is 1871790410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4015 S COBB DR SE STE 10
SMYRNA, GA
ZIP 30080-315
Phone: (770) 874-6100

The provider's authorized official is Seymour O Solodar .
The authorized official title is Pesident and has the following contact phone number (770) 874-6100.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist014956GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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