Organization
EASTERN ATLANTA BEHAVIORAL HEALTH LLC
Active
Organization
EASTERN ATLANTA BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO NORNIELLA NORNIELLA M.D. (CEO)
(706) 705-1687
Entity
Organization
Contact information
Practice address
1592 MARS HILL RD STE B, WATKINSVILLE, GA 30677-4890
(706) 705-1687
(706) 705-1654
Mailing address
1592 MARS HILL RD STE B, WATKINSVILLE, GA 30677-4890
(706) 705-1687
(706) 705-1654
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12100888
GA
Other
Enumeration date
01/19/2013
Last updated
08/28/2020
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