| Tom Noga Md Mental Health For Life Pc | |
|
4574 Us Highway 29 Ste 101 Lilburn GA 30047-3605 | |
| (770) 564-0300 | |
| (770) 564-0307 |
| Full Name | Tom Noga Md Mental Health For Life Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 4574 Us Highway 29, Lilburn, Georgia |
| Authorized Official Name and Position | Tom Noga (OWNER OPERATOR) |
| Authorized Official Contact | 4046445674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Noga Md Mental Health For Life Pc 4574 Us Highway 29 Ste 101 Lilburn GA 30047-3605 Ph: (770) 564-0300 | Tom Noga Md Mental Health For Life Pc 4574 Us Highway 29 Ste 101 Lilburn GA 30047-3605 Ph: (770) 564-0300 |
| NPI Number | 1699750042 |
|---|---|
| Provider Enumeration Date | 12/08/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699750042 | NPI | - | NPPES |
| 00664518A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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