| Magill Therapy Llc | |
|
5885 Glenridge Dr Suite 140 Sandy Springs GA 30328-5512 | |
| (404) 219-2412 | |
| (404) 745-0311 |
| Full Name | Magill Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5885 Glenridge Dr, Sandy Springs, Georgia |
| Authorized Official Name and Position | William Magill (OWNER) |
| Authorized Official Contact | 4042192412 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magill Therapy Llc 5885 Glenridge Dr Suite 140 Sandy Springs GA 30328-5512 Ph: (404) 219-2412 | Magill Therapy Llc 5885 Glenridge Dr Suite 140 Sandy Springs GA 30328-5512 Ph: (404) 219-2412 |
| NPI Number | 1114398260 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 10/15/2015 |
| Medicare PECOS PAC ID | 7315248267 |
|---|---|
| Medicare Enrollment ID | O20151217001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114398260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003452 (Georgia) | Primary |
| Provider Name | William Magill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629227418 PECOS PAC ID: 6103941174 Enrollment ID: I20100914000873 |
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