| Adrian Janit Psychlsvcs Llc | |
|
3730b Executive Center Dr Augusta GA 30907-2360 | |
| (706) 364-4599 | |
| (706) 364-4589 |
| Full Name | Adrian Janit Psychlsvcs Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3730b Executive Center Dr, Augusta, Georgia |
| Authorized Official Name and Position | Sheree Meyers (OFFICE MANAGER) |
| Authorized Official Contact | 7063647165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Janit Psychlsvcs Llc 3730b Executive Center Dr Augusta GA 30907-2360 Ph: (706) 364-4599 | Adrian Janit Psychlsvcs Llc 3730b Executive Center Dr Augusta GA 30907-2360 Ph: (706) 364-4599 |
| NPI Number | 1598042111 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 11/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598042111 | NPI | - | NPPES |
| 478699634 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY003347 (Georgia) | Primary |
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