Cascade Medical Group | |
950 Dannon Vw Sw Suite 4101 Atlanta GA 30331-2160 | |
(404) 699-9600 | |
(404) 696-7100 |
Full Name | Cascade Medical Group |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 950 Dannon Vw Sw, Atlanta, Georgia |
Authorized Official Name and Position | Debora Storey Johnson (PRESIDENT AND CEO) |
Authorized Official Contact | 4046999600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cascade Medical Group 950 Dannon Vw Sw Suite 4101 Atlanta GA 30331-2160 Ph: (404) 699-9600 | Cascade Medical Group 950 Dannon Vw Sw Suite 4101 Atlanta GA 30331-2160 Ph: (404) 699-9600 |
NPI Number | 1316112188 |
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Provider Enumeration Date | 04/23/2008 |
Last Update Date | 04/23/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316112188 | NPI | - | NPPES |
070979307A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 043071 (Georgia) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 043071 (Georgia) | Primary |
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