Atlanta Psychiatry & Neurology | |
3188 Atlanta Rd Se Smyrna GA 30080-8256 | |
(770) 319-6000 | |
Not Available |
Full Name | Atlanta Psychiatry & Neurology |
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Speciality | Psychologist |
Location | 3188 Atlanta Rd Se, Smyrna, Georgia |
Authorized Official Name and Position | Arlene Kish (PRACTICE MANAGER) |
Authorized Official Contact | 7703196000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Atlanta Psychiatry & Neurology 3188 Atlanta Rd Se Smyrna GA 30080-8256 Ph: (770) 319-6000 | Atlanta Psychiatry & Neurology 3188 Atlanta Rd Se Smyrna GA 30080-8256 Ph: (770) 319-6000 |
NPI Number | 1043348519 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 8224923735 |
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Medicare Enrollment ID | O20040216000265 |
Identifier | Type | State | Issuer |
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1043348519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Deborah A Reed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154358208 PECOS PAC ID: 2769462035 Enrollment ID: I20040726000874 |
Provider Name | Richard E Grant |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790942571 PECOS PAC ID: 8921177320 Enrollment ID: I20080527000042 |
Provider Name | Hemachandra P Gunawardhana |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1558369413 PECOS PAC ID: 6002851672 Enrollment ID: I20110124000875 |
Provider Name | Jacquelyn D. Owens |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1184845513 PECOS PAC ID: 9133393846 Enrollment ID: I20111115000465 |
Provider Name | Deena Huber |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487744454 PECOS PAC ID: 7113184813 Enrollment ID: I20120208000522 |
Provider Name | Jeffrey H Klopper |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1033282017 PECOS PAC ID: 2264327428 Enrollment ID: I20120724000958 |
Provider Name | Wendy D Barnes-mellstrom |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982956454 PECOS PAC ID: 9234369828 Enrollment ID: I20140227000176 |
Provider Name | Charisse M Hughson-chitolie |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1760993760 PECOS PAC ID: 4284980277 Enrollment ID: I20180705001176 |
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