The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c.

NPI 1255668810 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1255668810
Enumeration Date 11/03/2009
Last Updated 11/03/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name RANDY TYLER RANDY
Position CEO/OWNER
Phone (678) 840-8446
Fax
Practice Location
690 DALLAS HWY STE 201
VILLA RICA GA, 30180-1263, US
Phone (678) 840-8446
Fax
Business Location
690 DALLAS HWY STE 201
VILLA RICA GA, 30180-1263, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Georgia
License Number 053905
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According to our database, The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. NPI is 1255668810, taxonomy code is 2084P0800X and license number is 053905, license state is located at Georgia. The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. physically located at 690 Dallas Hwy Ste 201, Villa Rica GA, 30180-1263. NPI Number 1033115704 has the healthcare provider type.

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1255668810 NPI number is provided on an as is basis without warranty of any kind. 1255668810 is maintained by the National Plan & Provider Enumeration System. The contents of The Neuropsychiatric Clinic Of Atlantis-villa Rica, P.c. are for informational purposes only.