| W. Theron Mclarty Md Pc | |
|
4015 S Cobb Dr Se Ste 110b Smyrna GA 30080-6303 | |
| (177) 043-4510 | |
| Not Available |
| Full Name | W. Theron Mclarty Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4015 S Cobb Dr Se Ste 110b, Smyrna, Georgia |
| Authorized Official Name and Position | William Theron Mclarty (PSYCHIATRIST) |
| Authorized Official Contact | 7704345100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| W. Theron Mclarty Md Pc 4015 S Cobb Dr Se Ste 110b Smyrna GA 30080-6303 Ph: (770) 434-5100 | W. Theron Mclarty Md Pc 4015 S Cobb Dr Se Ste 110b Smyrna GA 30080-6303 Ph: (177) 043-4510 |
| NPI Number | 1821576695 |
|---|---|
| Provider Enumeration Date | 08/02/2018 |
| Last Update Date | 08/02/2018 |
| Medicare PECOS PAC ID | 3971851205 |
|---|---|
| Medicare Enrollment ID | O20180802003359 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821576695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | William Mclarty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114080520 PECOS PAC ID: 7012270259 Enrollment ID: I20180420001660 |
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