Individual
MICHAEL CHARLES BORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 767-2846
(912) 435-5966
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 767-2846
(912) 435-5966
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY399
ID
Other
Enumeration date
07/16/2008
Last updated
03/04/2016
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