Organization
JANE R FURTNER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE R FURTNER LCSW (PRESIDENT)
(770) 825-0448
Entity
Organization
Contact information
Practice address
6755 PEACHTREE INDUSTRIAL BLVD, STE 110, ATLANTA, GA 30360-2223
(770) 825-0448
(770) 451-9731
Mailing address
4481 PINERIDGE CIR, DUNWOODY, GA 30338-6540
(770) 825-0448
(770) 451-9731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001270
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611047524A
—
GA
Enumeration date
08/18/2009
Last updated
08/18/2009
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