| Georgia Center For Bipolar Disorder, Pc | |
|
3902 Northside Dr Suite A4 Macon GA 31210-2459 | |
| (478) 474-8774 | |
| (478) 474-8734 |
| Full Name | Georgia Center For Bipolar Disorder, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3902 Northside Dr, Macon, Georgia |
| Authorized Official Name and Position | Ali Ahmadi (PRESIDENT) |
| Authorized Official Contact | 4784748774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Center For Bipolar Disorder, Pc Po Box 4048 Macon GA 31208-4048 Ph: (478) 474-8774 | Georgia Center For Bipolar Disorder, Pc 3902 Northside Dr Suite A4 Macon GA 31210-2459 Ph: (478) 474-8774 |
| NPI Number | 1639377898 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 05/09/2014 |
| Medicare PECOS PAC ID | 6800878489 |
|---|---|
| Medicare Enrollment ID | O20040607000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639377898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 046824 (Georgia) | Primary |
| Provider Name | Ali Ahmadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407993157 PECOS PAC ID: 3971603580 Enrollment ID: I20101228000272 |
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