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A-Z BEHAVIORAL SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY ROBERSON MD (MANAGING MEMBER)
(615) 219-0090
Entity
Organization

Contact information

Practice address
120 SCARBROUGH ST, STE A, RICHLAND, MS 39218-9770
(615) 219-0090
Mailing address
120 SCARBROUGH ST, STE A, RICHLAND, MS 39218-9770

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15474
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201885
GA

Other

Enumeration date
03/11/2014
Last updated
09/06/2023
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