| Affiliated Behavioral Medical Group | |
|
1014 Main St Stone Mountain GA 30083-2944 | |
| (404) 784-2782 | |
| Not Available |
| Full Name | Affiliated Behavioral Medical Group |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1014 Main St, Stone Mountain, Georgia |
| Authorized Official Name and Position | Robin Michele Johnson (AFFILIATED BEHAVIORAL MEDICAL OWNER) |
| Authorized Official Contact | 4047842782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affiliated Behavioral Medical Group 1014 Main St Stone Mountain GA 30083-2944 Ph: (404) 784-2782 | Affiliated Behavioral Medical Group 1014 Main St Stone Mountain GA 30083-2944 Ph: (404) 784-2782 |
| NPI Number | 1508039306 |
|---|---|
| Provider Enumeration Date | 04/12/2008 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508039306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | SMC2007-021 (Georgia) | Primary |
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