| John C Mccormack Phd Pc | |
|
2301 Wrightsboro Rd Augusta GA 30904-6219 | |
| (706) 733-7029 | |
| (706) 733-1376 |
| Full Name | John C Mccormack Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2301 Wrightsboro Rd, Augusta, Georgia |
| Authorized Official Name and Position | John Collins Mccormack (PRESIDENT) |
| Authorized Official Contact | 7067337029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Mccormack Phd Pc 2301 Wrightsboro Rd Augusta GA 30904-6219 Ph: (706) 733-7029 | John C Mccormack Phd Pc 2301 Wrightsboro Rd Augusta GA 30904-6219 Ph: (706) 733-7029 |
| NPI Number | 1306993795 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306993795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY000601 (Georgia) | Primary |
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