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Organization

ADRIAN JANIT PSYCHLSVCS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHEREE MEYERS (OFFICE MANAGER)
(706) 364-7165
Entity
Organization

Contact information

Practice address
3730B EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2360
(706) 364-4599
(706) 364-4589
Mailing address
3730B EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2360
(706) 364-4599
(706) 364-4589

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003347
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
478699634
GA
Enumeration date
11/10/2011
Last updated
11/10/2011
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