Cecelia Patrice Kane Mdpc
Psychiatry & Neurology, Psychiatry in Conyers, GA. Organization (NPI-2).
NPI number1255410049
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1255410049
- Entity type
- Organization (NPI-2)
- Legal business name
- Cecelia Patrice Kane Mdpc
- Organization subpart
- No
- Enumeration date
- Nov 3, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 037581 | GA | Yes |
Other names
- Professional Corporation (Other Name)
Practice location
2215 Exchange PlaceSuite B
Conyers, GA 30013-6723
Phone 770-761-8800 · Fax 770-761-8435
Mailing address
2215 Exchange PlaceSuite B
Conyers, GA 30013-6723
Phone 770-761-8800 · Fax 770-761-8435
Authorized official
Cecelia Patrice Kane
President Of Corporation
7707618800
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