Organization
SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A LYLE MD (PRINCIPAL)
(678) 284-9171
Entity
Organization
Contact information
Practice address
240 CORPORATE CENTER DR, SUITE D, STOCKBRIDGE, GA 30281-7214
(678) 284-9171
Mailing address
240 CORPORATE CENTER DR, SUITE D, STOCKBRIDGE, GA 30281-7214
(678) 284-9171
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024707
GA
Other
Enumeration date
01/28/2007
Last updated
08/22/2020
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