| Iamironpanda | |
|
9 Dunwoody Park Ste 136 Dunwoody GA 30338-6796 | |
| (404) 594-0625 | |
| Not Available |
| Full Name | Iamironpanda |
|---|---|
| Speciality | Counselor |
| Location | 9 Dunwoody Park Ste 136, Dunwoody, Georgia |
| Authorized Official Name and Position | Jason Bussey (DIRECTOR) |
| Authorized Official Contact | 4045940625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iamironpanda 2479 Ortega Way Chamblee GA 30341-3620 Ph: (404) 594-0625 | Iamironpanda 9 Dunwoody Park Ste 136 Dunwoody GA 30338-6796 Ph: (404) 594-0625 |
| NPI Number | 1477311736 |
|---|---|
| Provider Enumeration Date | 03/11/2024 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477311736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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