| Atlanta Psychiatric Medicine, Inc. | |
|
1902 Macy Dr Roswell GA 30076-6339 | |
| (770) 837-9666 | |
| Not Available |
| Full Name | Atlanta Psychiatric Medicine, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1902 Macy Dr, Roswell, Georgia |
| Authorized Official Name and Position | Rukhsana R Ahmad (OWNER) |
| Authorized Official Contact | 7708379666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Psychiatric Medicine, Inc. 1902 Macy Dr Roswell GA 30076-6339 Ph: (770) 837-9666 | Atlanta Psychiatric Medicine, Inc. 1902 Macy Dr Roswell GA 30076-6339 Ph: (770) 837-9666 |
| NPI Number | 1831775139 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/18/2021 |
| Certification Date | 03/18/2021 |
| Medicare PECOS PAC ID | 4385052935 |
|---|---|
| Medicare Enrollment ID | O20210420000894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831775139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Rukhsana Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164507679 PECOS PAC ID: 1456257351 Enrollment ID: I20050221000111 |
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