Organization
AFFILIATED BEHAVIORAL MEDICAL GROUP
Active
Organization
AFFILIATED BEHAVIORAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MICHELE JOHNSON MD (AFFILIATED BEHAVIORAL MEDICAL OWNER)
(404) 784-2782
Entity
Organization
Contact information
Practice address
1014 MAIN ST, STONE MOUNTAIN, GA 30083-2944
(404) 784-2782
Mailing address
1014 MAIN ST, STONE MOUNTAIN, GA 30083-2944
(404) 784-2782
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SMC2007-021
GA
Other
Enumeration date
04/12/2008
Last updated
07/11/2008
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