Individual
MARY LISA HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3520 PIEDMONT RD NE STE 350, ATLANTA, GA 30305-1582
(404) 240-4218
(404) 240-4218
Mailing address
3520 PIEDMONT RD NE STE 350, ATLANTA, GA 30305-1582
(404) 240-4218
(404) 240-4218
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
GA036399
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
GA036399
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA036399
GA LICENSE NUMBER
GA
Enumeration date
03/06/2007
Last updated
01/02/2026
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