# NORTHFALL PSYCHIATRY & MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245828805
- **Authorized official:** OMNI WEBSTER (OFFICE MANAGER)
- **Authorized official phone:** (470) 695-4515

## Contact information

- **Practice address:** 11815 NORTHFALL LN STE 1001, ALPHARETTA, GA 30009-7973
- **Practice address phone:** (470) 695-4515
- **Mailing address:** 11815 NORTHFALL LN STE 1001, ALPHARETTA, GA 30009-7973
- **Mailing address phone:** (470) 695-4515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2021
- **Last updated:** 01/08/2021