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Organization
PREMIER PSYCHIATRIC AND MEDICAL CONSULTANTS
Active
Organization
PREMIER PSYCHIATRIC AND MEDICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH S. BOTNICK FNP-BC (CLINICAL DIRECTOR)
(404) 403-3326
Entity
Organization
Contact information
Practice address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
(404) 403-3326
Mailing address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN118785
GA
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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