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Organization
MAGELLAN HEALTHCARE SERVICES
Active
Organization
MAGELLAN HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NISHMA HERRERA-DAYA LMSW (SUPERVISOR)
(800) 201-8316
Entity
Organization
Contact information
Practice address
2550 NORTHWINDS PKWY, ALPHARETTA, GA 30004-2241
(800) 201-8316
Mailing address
2785 OAK MEADOW DR, SNELLVILLE, GA 30078-2794
(770) 736-9988
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
002776
GA
Other
Enumeration date
03/03/2007
Last updated
08/22/2020
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