Building Bridges To Better Lives | |
950 Dannon Vw Sw Ste. 4201 Atlanta GA 30331-2160 | |
(404) 644-0710 | |
Not Available |
Full Name | Building Bridges To Better Lives |
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Speciality | Psychologist |
Location | 950 Dannon Vw Sw, Atlanta, Georgia |
Authorized Official Name and Position | Pamela Everett Thompson (PSYCHOLOGIST/OWNER) |
Authorized Official Contact | 4046440710 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Building Bridges To Better Lives 950 Dannon Vw Sw Ste. 4201 Atlanta GA 30331-2160 Ph: (404) 644-0710 | Building Bridges To Better Lives 950 Dannon Vw Sw Ste. 4201 Atlanta GA 30331-2160 Ph: (404) 644-0710 |
NPI Number | 1780973156 |
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Provider Enumeration Date | 04/06/2011 |
Last Update Date | 04/06/2011 |
Medicare PECOS PAC ID | 7416131545 |
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Medicare Enrollment ID | O20110413000802 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780973156 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2611 (Georgia) | Primary |
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