| Psychiatric Services At Brookstone, Pc | |
|
2263 Brookstone Centre Pkwy Ste C Columbus GA 31904-4650 | |
| (706) 341-4060 | |
| (706) 341-4061 |
| Full Name | Psychiatric Services At Brookstone, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2263 Brookstone Centre Pkwy Ste C, Columbus, Georgia |
| Authorized Official Name and Position | Kevin Mcpherson (PRESIDENT) |
| Authorized Official Contact | 7063414060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Services At Brookstone, Pc 2263 Brookstone Centre Pkwy Ste C Columbus GA 31904-4650 Ph: (706) 341-4060 | Psychiatric Services At Brookstone, Pc 2263 Brookstone Centre Pkwy Ste C Columbus GA 31904-4650 Ph: (706) 341-4060 |
| NPI Number | 1194129544 |
|---|---|
| Provider Enumeration Date | 10/14/2014 |
| Last Update Date | 10/14/2014 |
| Medicare PECOS PAC ID | 5799009817 |
|---|---|
| Medicare Enrollment ID | O20150121000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194129544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 65152 (Georgia) | Primary |
| Provider Name | Kevin T Mcpherson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477755312 PECOS PAC ID: 5092959759 Enrollment ID: I20130918000772 |
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