Roswell Psychiatric Services, Pc

NPI 1114251188 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1114251188
Enumeration Date 09/24/2009
Last Updated 09/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name CONSUELO CONSUELO
Position OWNER
Phone (770) 552-4655
Fax (770) 552-4282
Practice Location
77 E CROSSVILLE RD
STE. 206
ROSWELL GA, 30075-5815, US
Phone (770) 552-4655
Fax (770) 552-4282
Business Location
PO BOX 1988
ROSWELL GA, 30077-1988, US
Phone (770) 552-4655
Fax (770) 552-4282
Toxanomy
Taxonomy Code 2084P0800X
License State Georgia
License Number 044067
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According to our database, Roswell Psychiatric Services, Pc NPI is 1114251188, taxonomy code is 2084P0800X and license number is 044067, license state is located at Georgia. Roswell Psychiatric Services, Pc physically located at 77 E Crossville Rd, Roswell GA, 30075-5815. NPI Number 1033115704 has the healthcare provider type.

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1114251188 NPI number is provided on an as is basis without warranty of any kind. 1114251188 is maintained by the National Plan & Provider Enumeration System. The contents of Roswell Psychiatric Services, Pc are for informational purposes only.