| Connected Minds Llc | |
|
4255 Millside Walk Se Smyrna GA 30080-6334 | |
| (229) 854-2282 | |
| Not Available |
| Full Name | Connected Minds Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4255 Millside Walk Se, Smyrna, Georgia |
| Authorized Official Name and Position | Oluseun Ajayi (OWNER) |
| Authorized Official Contact | 2298542282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connected Minds Llc 4255 Millside Walk Se Smyrna GA 30080-6334 Ph: (229) 854-2282 | Connected Minds Llc 4255 Millside Walk Se Smyrna GA 30080-6334 Ph: (229) 854-2282 |
| NPI Number | 1033701784 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Medicare PECOS PAC ID | 1153705967 |
|---|---|
| Medicare Enrollment ID | O20220829000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033701784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Oluseun Ofuje Ajayi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114389178 PECOS PAC ID: 5193011591 Enrollment ID: I20190904001043 |
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