| Southside Psychiatric Associates, P.c. | |
|
7444 Hannover Pkwy S Ste. 200 Stockbridge GA 30281-9303 | |
| (770) 506-8187 | |
| (770) 506-7436 |
| Full Name | Southside Psychiatric Associates, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 7444 Hannover Pkwy S, Stockbridge, Georgia |
| Authorized Official Name and Position | Carol Ann Lyle (SECRETARY) |
| Authorized Official Contact | 7705068187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Psychiatric Associates, P.c. 7444 Hannover Pkwy S Ste. 200 Stockbridge GA 30281-9303 Ph: (770) 506-8187 | Southside Psychiatric Associates, P.c. 7444 Hannover Pkwy S Ste. 200 Stockbridge GA 30281-9303 Ph: (770) 506-8187 |
| NPI Number | 1821356528 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821356528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 024707 (Georgia) | Primary |
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