Organization
DARVIN HEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA METZ (OFFICE MANAGER)
(770) 458-0007
Entity
Organization
Contact information
Practice address
2150 PEACHFORD RD, ATLANTA, GA 30338-6520
(770) 458-0007
Mailing address
2150 PEACHFORD RD, ATLANTA, GA 30338-6520
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
GA017757
GA
305R00000X
Preferred Provider Organization
GA017757
GA
Other
Enumeration date
08/09/2007
Last updated
08/09/2007
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