Cassandra Wanzo MD PC
Psychiatry & Neurology, Psychiatry in Roswell, GA. Organization (NPI-2).
NPI number1912377433
StatusActive
Last updated in NPPESSep 26, 2015
Details
- NPI
- 1912377433
- Entity type
- Organization (NPI-2)
- Legal business name
- Cassandra Wanzo MD PC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2015
- Last updated
- Sep 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 35165 | GA | Yes |
Practice location
602 Bombay LnRoswell, GA 30076-5828
Phone 678-566-1440 · Fax 678-566-1442
Mailing address
602 Bombay LnRoswell, GA 30076-5828
Phone 678-566-1440 · Fax 678-566-1442
Authorized official
Cassandra L Wanzo
Owner
6785661440
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