Organization
LOTUS STREAM PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BINH NGOLTON MD (OWNER)
(770) 852-0039
Entity
Organization
Contact information
Practice address
3330 CUMBERLAND BLVD SE STE 500, ATLANTA, GA 30339-5997
(770) 852-0039
Mailing address
3330 CUMBERLAND BLVD SE STE 500, ATLANTA, GA 30339-5997
(770) 852-0039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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