| Mark F Brechtel Phd Pc | |
|
1 Huntington Rd Ste 103 Athens GA 30606-7204 | |
| (706) 369-0970 | |
| Not Available |
| Full Name | Mark F Brechtel Phd Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1 Huntington Rd, Athens, Georgia |
| Authorized Official Name and Position | Mark F Brechtel (PRESIDENT) |
| Authorized Official Contact | 7063726199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark F Brechtel Phd Pc 428 Sawdust Trl Nicholson GA 30565-3097 Ph: (706) 372-6199 | Mark F Brechtel Phd Pc 1 Huntington Rd Ste 103 Athens GA 30606-7204 Ph: (706) 369-0970 |
| NPI Number | 1629207204 |
|---|---|
| Provider Enumeration Date | 07/05/2009 |
| Last Update Date | 03/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629207204 | NPI | - | NPPES |
| 1932215845 | Other | GA | CLINICIAN NPI |
| 68BBGLB | Other | GA | MEDICARE B |
| 750409758A | Medicaid | GA | |
| 1162893 | Other | GA | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | PSY002805 (Georgia) | Primary |
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