Organization
LOOKOUT MOUNTAIN COMMUNITY SEVICES
Active
Organization
LOOKOUT MOUNTAIN COMMUNITY SEVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RJICHARD EDWARD GRANT M.D. (PHYSICIAN)
(404) 467-7670
Entity
Organization
Contact information
Practice address
2921 MITCHELL CV NE, ATLANTA, GA 30319-2695
(404) 467-7670
(706) 639-2055
Mailing address
2921 MITCHELL CV NE, ATLANTA, GA 30319-2695
(404) 467-7670
(706) 639-2055
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
044472
GA
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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