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Organization
SOUTHERN PSYCHIATRIC T.M.S., LLC
Active
Organization
SOUTHERN PSYCHIATRIC T.M.S., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE WILLIAM SAVAGE MD (OWNER/PSYCHIATRIST)
(770) 904-9785
Entity
Organization
Contact information
Practice address
48 MAIN ST STE 2E, SENOIA, GA 30276-1895
(770) 904-9785
Mailing address
48 MAIN ST STE 2E, SENOIA, GA 30276-1895
(770) 904-9785
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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