| Greater Atlanta Psychiatric Associates,inc | |
|
1821 Clifton Rd Ne Atlanta GA 30329-4021 | |
| (404) 501-0001 | |
| (404) 501-0023 |
| Full Name | Greater Atlanta Psychiatric Associates,inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1821 Clifton Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Linda Blackshear (OFFICE MANAGER) |
| Authorized Official Contact | 4045010001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Atlanta Psychiatric Associates,inc 2711 Irvin Way Suite 211 Decatur GA 30030-5405 Ph: (404) 501-0001 | Greater Atlanta Psychiatric Associates,inc 1821 Clifton Rd Ne Atlanta GA 30329-4021 Ph: (404) 501-0001 |
| NPI Number | 1013169952 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 10/22/2008 |
| Medicare PECOS PAC ID | 9133289895 |
|---|---|
| Medicare Enrollment ID | O20081125000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013169952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 060014 (Georgia) | Primary |
| Provider Name | Leo O Noragbon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336324144 PECOS PAC ID: 1355401019 Enrollment ID: I20081125000621 |
| Provider Name | Solange Marie Marcel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679602536 PECOS PAC ID: 9335200153 Enrollment ID: I20081211000207 |
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