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Organization

AVENIA BEHAVIORAL MANAGEMENT, INC

Active
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Organization

AVENIA BEHAVIORAL MANAGEMENT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RUSSELL E BROWN JR. M,D. (OWNER, MEDICAL DIRECTOR)
(404) 316-4992
Entity
Organization

Contact information

Practice address
4500 KARLS GATE DR, MARIETTA, GA 30068-2017
(770) 973-0687
(770) 973-3587
Mailing address
2001 MLK JR DR SW STE, SUITES 418/420, ATLANTA, GA 30310
(404) 564-4987
(404) 564-4988

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH7731
RR MEDICARE GROUP PIN
GA
01
CH7732
RR MEDICARE GROUP PIN
GA
Enumeration date
06/16/2006
Last updated
08/17/2018
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