Organization
MICHAEL S MCGARRY PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY STANFORD (OFFICE MANAGER)
(770) 435-5453
Entity
Organization
Contact information
Practice address
4015 S COBB DR SE, SUITE 1, SMYRNA, GA 30080-6303
(770) 435-5453
Mailing address
4015 S COBB DR SE, SUITE 1, SMYRNA, GA 30080-6303
(770) 435-5453
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001263
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00424003A
—
GA
Enumeration date
05/23/2012
Last updated
05/23/2012
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