Organization
THE NEUROPSYCHIATRIC CLINIC OF ATLANTIS-VILLA RICA, P.C.
Active
Parent organization
THE NEUROPSYCHIATRIC CLINIC OF ATLANTIS-VILLA RICA, P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE NEUROPSYCHIATRIC CLINIC OF ATLANTIS-VILLA RICA, P.C
Authorized official
DR. RANDY TYLER WARNER (CEO/OWNER)
(678) 840-8446
Entity
Organization
Contact information
Practice address
690 DALLAS HWY STE 201, VILLA RICA, GA 30180-1263
(678) 840-8446
Mailing address
690 DALLAS HWY STE 201, VILLA RICA, GA 30180-1263
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
053905
GA
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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