| Blueprint Psychiatry, Llc | |
|
1601 Highway 34 E Ste A Newnan GA 30265 | |
| (678) 619-5151 | |
| Not Available |
| Full Name | Blueprint Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1601 Highway 34 E Ste A, Newnan, Georgia |
| Authorized Official Name and Position | Crystal Nelson (PSYCHIATRIST) |
| Authorized Official Contact | 4048592247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blueprint Psychiatry, Llc 1601 Highway 34 E Ste A Newnan GA 30265-1325 Ph: () - | Blueprint Psychiatry, Llc 1601 Highway 34 E Ste A Newnan GA 30265 Ph: (678) 619-5151 |
| NPI Number | 1881176832 |
|---|---|
| Provider Enumeration Date | 09/05/2018 |
| Last Update Date | 09/06/2018 |
| Medicare PECOS PAC ID | 1850645870 |
|---|---|
| Medicare Enrollment ID | O20181109002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881176832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Crystal Lewis Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437356870 PECOS PAC ID: 5496915209 Enrollment ID: I20120330000607 |
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