Dr Juntira Laothavorn, MD - Psychiatry & Neurology in Atlanta, GA

Dr Juntira Laothavorn, MD is a Psychiatry & Neurology - Psychiatry physician based in Atlanta, Georgia. Dr Juntira Laothavorn is licensed to practice in Georgia (license number 076279) and her current practice location is 1745 Phoenix Blvd Ste 240, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at (404) 507-7100.

NPI number for Dr Juntira Laothavorn is 1700140712 and her current mailing address is 88 N Avondale Rd # 181, Avondale Estates, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700140712.

Contact Information

Dr Juntira Laothavorn, MD
1745 Phoenix Blvd Ste 240,
Atlanta, GA 30349-5534
(404) 507-7100
Not Available

Map and Direction




Physician's Profile

Full NameDr Juntira Laothavorn
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1745 Phoenix Blvd Ste 240, Atlanta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700140712
  • Provider Enumeration Date: 06/25/2012
  • Last Update Date: 12/04/2020

Medical Identifiers

Medical identifiers for Dr Juntira Laothavorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700140712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 125061354 (Illinois)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 076279 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Juntira Laothavorn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Juntira Laothavorn, MD
88 N Avondale Rd # 181,
Avondale Estates, GA 30002-1323

Ph: (404) 579-4544
Dr Juntira Laothavorn, MD
1745 Phoenix Blvd Ste 240,
Atlanta, GA 30349-5534

Ph: (404) 507-7100

Reviews and Comments


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