Organization
ALARIS BEHAVIORAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA R. NEALE D.O. (PRESIDENT/MEDICAL DIRECTOR)
(770) 716-4117
Entity
Organization
Contact information
Practice address
110 HABERSHAM DR, SUITE 146, FAYETTEVILLE, GA 30214-1381
(770) 371-5110
(678) 500-6797
Mailing address
110 HABERSHAM DR, SUITE 146, FAYETTEVILLE, GA 30214-1381
(770) 371-5110
(678) 500-6797
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
49070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000891349E
—
GA
01
—
202G700593
MEDICARE PTAN
GA
Enumeration date
05/15/2008
Last updated
07/30/2012
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