Organization
GEODE HEALTH OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY L MARRINER (CREDENTIALING MANAGER)
(630) 912-4241
Entity
Organization
Contact information
Practice address
227 SCENIC HWY STE A, LAWRENCEVILLE, GA 30046-5649
(630) 912-4241
Mailing address
1211 W 22ND ST STE 406, OAK BROOK, IL 60523-2169
(888) 902-1704
(302) 907-3568
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
06/10/2025
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