Organization
PSYCH ATLANTA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHEAL DAVID BANOV MD (OWNER)
(770) 422-2009
Entity
Organization
Contact information
Practice address
1012 COGGINS PLACE, MARIETTA, GA 30060-1306
(770) 422-2009
(770) 428-0330
Mailing address
1314 CONCORD RD SE, SMYRNA, GA 30080-4361
(770) 438-1799
(770) 825-9046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
GA
Other
Enumeration date
03/09/2007
Last updated
03/24/2026
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