Organization
GRISHAM ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILTON GRISHAM (PSYCHOLOGIST)
(770) 924-1818
Entity
Organization
Contact information
Practice address
8910 MAIN ST, WOODSTOCK, GA 30188-4916
(770) 924-1818
(770) 928-5731
Mailing address
3642 CHILDERS WAY NE, ROSWELL, GA 30075-5275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1336
GA
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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