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Organization
THERAMED HEALTH, LLC
Active
Organization
THERAMED HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE REED (CHIEF EXECUTIVE OFFICER)
(404) 857-9575
Entity
Organization
Contact information
Practice address
3440 BLUE SPRINGS RD NW STE 503, KENNESAW, GA 30144-1038
(404) 857-9575
(888) 857-4685
Mailing address
3440 BLUE SPRINGS RD NW STE 503, KENNESAW, GA 30144-1038
(404) 857-9575
(888) 857-4685
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
09/19/2014
Last updated
07/15/2020
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