Organization
BMD TELEPSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MARIE D'ORIO MD (MANAGING MEMBER)
(678) 358-2209
Entity
Organization
Contact information
Practice address
1360 CADUCEUS WAY, BLDG 400, STE 102, WATKINSVILLE, GA 30677
(678) 358-2209
Mailing address
1360 CADUCEUS WAY, BLDG 400, STE 102, WATKINSVILLE, GA 30677
(678) 358-2209
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054240743
—
GA
Enumeration date
08/25/2021
Last updated
08/27/2021
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