| Cpg | |
|
11111 Houze Rd Ste 225 Roswell GA 30076-5663 | |
| (770) 436-9700 | |
| (678) 736-7308 |
| Full Name | Cpg |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11111 Houze Rd, Roswell, Georgia |
| Authorized Official Name and Position | Nina Nightingale Braziel (CEO) |
| Authorized Official Contact | 7704369700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpg Po Box 1509 Roswell GA 30077-1509 Ph: (770) 436-9700 | Cpg 11111 Houze Rd Ste 225 Roswell GA 30076-5663 Ph: (770) 436-9700 |
| NPI Number | 1629103858 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629103858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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