Organization
ROCKDALE PSYCHIATRIC ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNAMARIE SPILLANE PAULSEN M.D. (OWNER)
(770) 922-0255
Entity
Organization
Contact information
Practice address
1397 MANCHESTER DR NE, CONYERS, GA 30012-3882
(770) 922-0255
(770) 922-3132
Mailing address
1397 MANCHESTER DR NE, CONYERS, GA 30012-3882
(770) 922-0255
(770) 922-3132
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
029066
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00516381B
—
GA
Enumeration date
10/19/2009
Last updated
10/19/2009
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