| Dunwoody Psychiatry And Psychotherapy Center | |
|
2150 Peachford Rd Ste V Atlanta GA 30338-6539 | |
| (770) 674-1540 | |
| (770) 674-1765 |
| Full Name | Dunwoody Psychiatry And Psychotherapy Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2150 Peachford Rd Ste V, Atlanta, Georgia |
| Authorized Official Name and Position | Michael Roy Vaughn (PRESIDENT) |
| Authorized Official Contact | 4044099743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dunwoody Psychiatry And Psychotherapy Center 2150 Peachford Rd Ste V Atlanta GA 30338-6539 Ph: (770) 674-1540 | Dunwoody Psychiatry And Psychotherapy Center 2150 Peachford Rd Ste V Atlanta GA 30338-6539 Ph: (770) 674-1540 |
| NPI Number | 1750747812 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 01/05/2016 |
| Medicare PECOS PAC ID | 9032409446 |
|---|---|
| Medicare Enrollment ID | O20160526000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750747812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 022660 (Georgia) | Primary |
| Provider Name | Michael R Vaughn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598889420 PECOS PAC ID: 8628154218 Enrollment ID: I20080324000284 |
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