Individual
DR. RENATO POPOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 CROSS COUNTRY DR, COLUMBUS, GA 31906-1801
(706) 568-7628
Mailing address
6635 BASS ROAD, FORT BENNING, GA 31905
(800) 214-8387
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
01/06/2021
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