Organization
FADHILI PYSHCHIATRY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE WAWERU (CEO)
(404) 579-3767
Entity
Organization
Contact information
Practice address
111 LIBERTY BELL DR NE, CARTERSVILLE, GA 30121-8070
(404) 579-3767
Mailing address
111 LIBERTY BELL DR NE, CARTERSVILLE, GA 30121-8070
(404) 579-3767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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