Unknown Individual – Psychiatry Physician, NPI 1205049285
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
5752 SHOAL CREEK DRIVE
DOUGLASVILLE, GA 30135
Phone: (770) 577-0676
Type: Mailing
1707 NORTH BLAIRS BRIDGE ROAD
AUSTELL, GA 30168
Phone: (770) 949-8082
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30135)
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