Iamironpanda | |
9 Dunwoody Park Ste 136 Dunwoody GA 30338-6796 | |
(404) 594-0625 | |
Not Available |
Full Name | Iamironpanda |
---|---|
Speciality | Counselor |
Location | 9 Dunwoody Park Ste 136, Dunwoody, Georgia |
Authorized Official Name and Position | Jason Bussey (DIRECTOR) |
Authorized Official Contact | 4045940625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Iamironpanda 2479 Ortega Way Chamblee GA 30341-3620 Ph: (404) 594-0625 | Iamironpanda 9 Dunwoody Park Ste 136 Dunwoody GA 30338-6796 Ph: (404) 594-0625 |
NPI Number | 1477311736 |
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Provider Enumeration Date | 03/11/2024 |
Last Update Date | 03/11/2024 |
Certification Date | 03/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477311736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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