South Atlanta Psychiatry Llc | |
253 Upper Riverdale Rd Sw Ste C Riverdale GA 30274-4945 | |
(770) 876-2789 | |
Not Available |
Full Name | South Atlanta Psychiatry Llc |
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Speciality | Psychiatric Unit |
Location | 253 Upper Riverdale Rd Sw Ste C, Riverdale, Georgia |
Authorized Official Name and Position | Srinivas Kolipaka (MD) |
Authorized Official Contact | 7708762789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Atlanta Psychiatry Llc 253 Upper Riverdale Rd Sw Ste C Riverdale GA 30274-4945 Ph: (770) 876-2789 | South Atlanta Psychiatry Llc 253 Upper Riverdale Rd Sw Ste C Riverdale GA 30274-4945 Ph: (770) 876-2789 |
NPI Number | 1578026431 |
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Provider Enumeration Date | 04/08/2019 |
Last Update Date | 04/08/2019 |
Identifier | Type | State | Issuer |
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1578026431 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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