Georgia Behavioral Health Llc | |
3965 Holcomb Bridge Rd Ste 102 Norcross GA 30092-2203 | |
(678) 861-6463 | |
Not Available |
Full Name | Georgia Behavioral Health Llc |
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Speciality | Community/Behavioral Health |
Location | 3965 Holcomb Bridge Rd Ste 102, Norcross, Georgia |
Authorized Official Name and Position | Neha Khurana (PRESIDENT) |
Authorized Official Contact | 6788616463 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Behavioral Health Llc 4220 Falls Ridge Dr Alpharetta GA 30022-8489 Ph: (678) 861-6463 | Georgia Behavioral Health Llc 3965 Holcomb Bridge Rd Ste 102 Norcross GA 30092-2203 Ph: (678) 861-6463 |
NPI Number | 1134648538 |
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Provider Enumeration Date | 09/17/2017 |
Last Update Date | 09/17/2017 |
Medicare PECOS PAC ID | 0042576837 |
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Medicare Enrollment ID | O20171110001941 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134648538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Neha Khurana |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659694404 PECOS PAC ID: 7719003094 Enrollment ID: I20171110002230 |
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