Organization
TOM NOGA MD MENTAL HEALTH FOR LIFE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM NOGA MD MBA (OWNER OPERATOR)
(404) 644-5674
Entity
Organization
Contact information
Practice address
4574 US HIGHWAY 29, STE 101, LILBURN, GA 30047-3605
(770) 564-0300
(770) 564-0307
Mailing address
4574 US HIGHWAY 29, STE 101, LILBURN, GA 30047-3605
(770) 564-0300
(770) 564-0307
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00664518A
—
GA
Enumeration date
12/08/2005
Last updated
09/11/2025
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