Psychemic
Psychiatry & Neurology, Psychiatry in Decatur, GA. Organization (NPI-2).
NPI number1164021390
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1164021390
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychemic
- Organization subpart
- No
- Enumeration date
- Oct 19, 2020
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
125 Clairemont Ave Ste 205Decatur, GA 30030-2558
Phone 770-234-0981
Mailing address
125 Clairemont Ave Ste 205Decatur, GA 30030-2558
Authorized official
Byron Evans
Owner
7702340981
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