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Individual

GEORGE GANAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5064 ROSWELL RD, STE D-201, ATLANTA, GA 30342-2281
(404) 252-4525
(404) 252-6935
Mailing address
5064 ROSWELL RD, STE D-201, ATLANTA, GA 30342-2281
(404) 252-4525
(404) 252-6935

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16233
GA

Other

Enumeration date
03/14/2015
Last updated
03/14/2015
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