Organization
MANDIP MEDIPSYCH HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH MANDIP EGBE (OWNER / AUTHORIZED OFFICIAL)
(470) 854-8533
Entity
Organization
Contact information
Practice address
850 DOGWOOD RD, LAWRENCEVILLE, GA 30044-7218
(470) 854-8533
(470) 690-2310
Mailing address
3042 HOLLOWSTONE DR, LOGANVILLE, GA 30052-6222
(470) 854-8533
(470) 690-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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