| The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. | |
|
690 Dallas Hwy Ste 201 Villa Rica GA 30180-1263 | |
| (678) 840-8446 | |
| Not Available |
| Full Name | The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 690 Dallas Hwy Ste 201, Villa Rica, Georgia |
| Authorized Official Name and Position | Randy Tyler Warner (CEO/OWNER) |
| Authorized Official Contact | 6788408446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. 690 Dallas Hwy Ste 201 Villa Rica GA 30180-1263 Ph: () - | The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. 690 Dallas Hwy Ste 201 Villa Rica GA 30180-1263 Ph: (678) 840-8446 |
| NPI Number | 1255668810 |
|---|---|
| Provider Enumeration Date | 11/03/2009 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255668810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 053905 (Georgia) | Primary |
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