Premier Psychiatric And Medical Consultants
Nurse Practitioner, Psych/Mental Health in Atlanta, GA. Organization (NPI-2).
NPI number1285963595
StatusActive
Last updated in NPPESDec 15, 2009
Details
- NPI
- 1285963595
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Psychiatric And Medical Consultants
- Organization subpart
- No
- Enumeration date
- Dec 15, 2009
- Last updated
- Dec 15, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN118785 | GA | Yes |
Practice location
1430 Stephens Dr NeAtlanta, GA 30329-3716
Phone 404-403-3326
Mailing address
1430 Stephens Dr NeAtlanta, GA 30329-3716
Authorized official
Beth S. Botnick
Clinical Director
4044033326
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