| Southern Psychiatric Professionals, Llc | |
|
48 Main St Ste 2a Senoia GA 30276-1895 | |
| (770) 400-9660 | |
| Not Available |
| Full Name | Southern Psychiatric Professionals, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 48 Main St Ste 2a, Senoia, Georgia |
| Authorized Official Name and Position | Shane Savage (PRESIDENT/COO) |
| Authorized Official Contact | 7704009660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Psychiatric Professionals, Llc 48 Main St Ste 2a Senoia GA 30276-1895 Ph: (770) 400-9660 | Southern Psychiatric Professionals, Llc 48 Main St Ste 2a Senoia GA 30276-1895 Ph: (770) 400-9660 |
| NPI Number | 1295246635 |
|---|---|
| Provider Enumeration Date | 10/12/2017 |
| Last Update Date | 10/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295246635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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