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Organization

DEBRA ALVIS, PH.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBRA KAY ALVIS PH.D. (PRESIDENT)
(706) 369-7441
Entity
Organization

Contact information

Practice address
1551 JENNINGS MILL RD, SUITE 2000 B, BOGART, GA 30622-2544
(706) 369-7441
(706) 549-2569
Mailing address
1551 JENNINGS MILL RD, SUITE 2000 B, BOGART, GA 30622-2544
(706) 369-7441
(706) 549-2569

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY2296
GA

Other

Enumeration date
08/21/2008
Last updated
08/21/2008
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