West Georgia Behavioral Health | |
101 Quartz Dr Suite 103 Villa Rica GA 30180-3255 | |
(770) 456-3722 | |
(770) 456-3739 |
Full Name | West Georgia Behavioral Health |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 101 Quartz Dr, Villa Rica, Georgia |
Authorized Official Name and Position | Debbi Macaluso-peare (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7708388554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Georgia Behavioral Health 101 Quartz Dr Suite 103 Villa Rica GA 30180-3255 Ph: (770) 456-3722 | West Georgia Behavioral Health 101 Quartz Dr Suite 103 Villa Rica GA 30180-3255 Ph: (770) 456-3722 |
NPI Number | 1588679203 |
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Provider Enumeration Date | 07/30/2006 |
Last Update Date | 05/18/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588679203 | NPI | - | NPPES |
DA2102 | Other | GA | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 035853 (Georgia) | Primary |
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