# GUARDIAN HEALTH GROUP

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

## Provider details

- **NPI number:** 1679181168
- **Authorized official:** MISS MARIE-ANDREE PARENT NURSE PRACTITIONER (NP)
- **Authorized official phone:** (516) 647-1557

## Contact information

- **Practice address:** 4228 1ST AVE STE 1A, TUCKER, GA 30084-4426
- **Practice address phone:** (866) 939-9929
- **Practice address fax:** (470) 761-4181
- **Mailing address:** 4228 1ST AVE STE 1A, TUCKER, GA 30084-4426
- **Mailing address phone:** (866) 939-9929
- **Mailing address fax:** (470) 761-4181

## 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:** 07/21/2020
- **Last updated:** 08/04/2024
