Organization
PEACHTREE FAMILY PSYCHIATRY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASSAR KANAWATI M.D. (PSYCHIATRIST)
(770) 380-0635
Entity
Organization
Contact information
Practice address
1720 PEACHTREE ST NW STE 320, ATLANTA, GA 30309-2447
(404) 249-8496
Mailing address
1776 PEACHTREE ST NW, SUITE 310 NORTH, ATLANTA, GA 30309-2307
(404) 249-8496
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
49237
GA
Other
Enumeration date
10/30/2014
Last updated
06/26/2024
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