| Pcap Inc | |
|
215 Hawthorne Park Ste A Athens GA 30606-2164 | |
| (706) 546-9880 | |
| Not Available |
| Full Name | Pcap Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 215 Hawthorne Park Ste A, Athens, Georgia |
| Authorized Official Name and Position | Paul Cardozo (PRESIDENT) |
| Authorized Official Contact | 7065469880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcap Inc 215 Hawthorne Park Ste A Athens GA 30606-2164 Ph: (706) 546-9880 | Pcap Inc 215 Hawthorne Park Ste A Athens GA 30606-2164 Ph: (706) 546-9880 |
| NPI Number | 1760614119 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 02/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760614119 | NPI | - | NPPES |
| 000348323A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 821 (Georgia) | Primary |
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