Organization
MEDOPTIONS OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J DOOLEY (CFO)
(800) 370-3651
Entity
Organization
Contact information
Practice address
40 TECHNOLOGY PKWY S STE 300, NORCROSS, GA 30092-2924
(800) 370-3651
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/28/2016
Last updated
01/05/2017
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