Organization
BETH-ANN BUITEKANT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH-ANN BUITEKANT PSY. D., RN (PRESIDENT)
(404) 818-6073
Entity
Organization
Contact information
Practice address
1244 CLAIRMONT RD, DECATUR, GA 30030-1259
(404) 818-6073
Mailing address
1244 CLAIRMONT RD, DECATUR, GA 30030-1259
(404) 818-6073
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R065174
GA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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