Organization
SOUTHERN BEHAVIORAL HEALTHCARE,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SALEWA TAIWO (OFFICE MANAGER)
(678) 610-7100
Entity
Organization
Contact information
Practice address
110 BRAXTON CT, FAYETTEVILLE, GA 30214-1968
(678) 610-7100
(678) 610-7111
Mailing address
110 BRAXTON CT, FAYETTEVILLE, GA 30214-1968
(678) 610-7100
(678) 610-7111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
64622
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
051606
GA
Other
Enumeration date
03/04/2006
Last updated
09/14/2022
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