Individual
DIRK E HUTTENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4015 S COBB DR SE, SUITE 210, SMYRNA, GA 30080-6303
(770) 434-2436
(770) 434-1223
Mailing address
4015 S COBB DR SE, SUITE 210, SMYRNA, GA 30080-6303
(770) 434-2436
(770) 434-1223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
013903
GA
2084P0804X
Child & Adolescent Psychiatry Physician
013903
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00089284A
—
GA
Enumeration date
04/07/2006
Last updated
09/11/2025
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