Organization
ATLANTA PSYCHIATRIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAGAN CHILAKAMARRI MD (OWNER)
(770) 573-9255
Entity
Organization
Contact information
Practice address
5400 LAUREL SPRINGS PKWY, UNIT 602, SUWANEE, GA 30024-6056
(770) 573-9255
(770) 573-0505
Mailing address
PO BOX 27270, MACON, GA 31221-7270
(478) 405-5880
(478) 405-5992
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2056
MEDICARE GROUP NUMBER
GA
Enumeration date
06/11/2006
Last updated
08/22/2020
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