Organization
JOHN C MCCORMACK PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN COLLINS MCCORMACK PHD (PRESIDENT)
(706) 733-7029
Entity
Organization
Contact information
Practice address
2301 WRIGHTSBORO RD, AUGUSTA, GA 30904-6219
(706) 733-7029
(706) 733-1376
Mailing address
2301 WRIGHTSBORO RD, AUGUSTA, GA 30904-6219
(706) 733-7029
(706) 733-1376
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY000601
GA
Other
Enumeration date
01/05/2007
Last updated
12/18/2007
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