Organization
POTOMAC BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NYSA MARINDA PAYSOUR MD (PSYCHIATRIST/ REPRESENTATIVE)
(678) 907-6518
Entity
Organization
Contact information
Practice address
7731 MILTON CIR, GAINESVILLE, VA 20155-3638
(678) 907-6518
Mailing address
7731 MILTON CIR, GAINESVILLE, VA 20155-3638
(678) 907-6518
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101254242
VA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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