| Richard A. Waldman, M.d., P.c. | |
|
30 Lenox Pointe Ne Ste A Atlanta GA 30324-3177 | |
| (404) 841-0641 | |
| (404) 365-9397 |
| Full Name | Richard A. Waldman, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 30 Lenox Pointe Ne Ste A, Atlanta, Georgia |
| Authorized Official Name and Position | Richard A. Waldman (PRESIDENT) |
| Authorized Official Contact | 4048410641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Waldman, M.d., P.c. 30 Lenox Pointe Ne Ste A Atlanta GA 30324-3177 Ph: (404) 841-0641 | Richard A. Waldman, M.d., P.c. 30 Lenox Pointe Ne Ste A Atlanta GA 30324-3177 Ph: (404) 841-0641 |
| NPI Number | 1952749657 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Medicare PECOS PAC ID | 9335389196 |
|---|---|
| Medicare Enrollment ID | O20130628000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952749657 | NPI | - | NPPES |
| 10034824 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 048198 (Georgia) | Primary |
| Provider Name | Richard A Waldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699891432 PECOS PAC ID: 9638063571 Enrollment ID: I20040211000525 |
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