Georgia Bio Behavioral Associates | |
4546 Barclay Dr Ste B Atlanta GA 30338-7146 | |
(770) 457-7994 | |
(770) 458-8656 |
Full Name | Georgia Bio Behavioral Associates |
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Speciality | Psychiatry & Neurology |
Location | 4546 Barclay Dr Ste B, Atlanta, Georgia |
Authorized Official Name and Position | Jeffrey Lee Winston (MD) |
Authorized Official Contact | 7704577994 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Georgia Bio Behavioral Associates Po Box 888041 Atlanta GA 30356-0041 Ph: (770) 457-7994 | Georgia Bio Behavioral Associates 4546 Barclay Dr Ste B Atlanta GA 30338-7146 Ph: (770) 457-7994 |
NPI Number | 1902556632 |
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Provider Enumeration Date | 03/25/2022 |
Last Update Date | 05/18/2022 |
Certification Date | 05/18/2022 |
Medicare PECOS PAC ID | 4789062159 |
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Medicare Enrollment ID | O20220526001282 |
Identifier | Type | State | Issuer |
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1902556632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Jeffrey Lee Winston |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003938598 PECOS PAC ID: 2264568898 Enrollment ID: I20100407000195 |
Provider Name | Retta Bright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174928667 PECOS PAC ID: 4587959093 Enrollment ID: I20160823002104 |
Provider Name | Nassaratou Diaby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154784551 PECOS PAC ID: 1355613977 Enrollment ID: I20170816004369 |
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