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Individual

DR. CHARLES NORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2150 PEACHFORD RD STE E, ATLANTA, GA 30338-6521
(770) 457-2759
(770) 483-5456
Mailing address
2150 PEACHFORD RD STE E, ATLANTA, GA 30338-6521
(770) 457-2759
(770) 483-5456

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
749
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00233472A
GA
Enumeration date
07/28/2006
Last updated
10/09/2011
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