| North Atlanta Psychiatry | |
|
3582 Old Milton Pkwy Alpharetta GA 30005-4465 | |
| (770) 225-3000 | |
| (770) 225-3001 |
| Full Name | North Atlanta Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3582 Old Milton Pkwy, Alpharetta, Georgia |
| Authorized Official Name and Position | Jyothi N Mattam (MEDICAL DOCTOR) |
| Authorized Official Contact | 6785757294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Atlanta Psychiatry 7902 Amawalk Circle Johns Creek GA 30097 Ph: (678) 575-7294 | North Atlanta Psychiatry 3582 Old Milton Pkwy Alpharetta GA 30005-4465 Ph: (770) 225-3000 |
| NPI Number | 1114177631 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 11/23/2010 |
| Medicare PECOS PAC ID | 8123143559 |
|---|---|
| Medicare Enrollment ID | O20100909000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114177631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Jyothi N Mattam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306978929 PECOS PAC ID: 7214975663 Enrollment ID: I20050418000708 |
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