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Organization
PSYCHCARE
Active
Organization
PSYCHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOURDES JEANNETTE CHAHIN MD (OWNER)
(706) 201-2985
Entity
Organization
Contact information
Practice address
485 HUNTINGTON RD, SUITE 201, ATHENS, GA 30606-1861
(706) 613-3307
Mailing address
485 HUNTINGTON RD, SUITE 199, ATHENS, GA 30606
(706) 613-3307
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
057154
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900480495A
—
GA
05
—
900480495B
—
GA
Enumeration date
04/27/2007
Last updated
07/07/2009
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