Organization
PROVIDENCE NEUROPSYCHIATRIC HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADEWUMI ADEBOMOJO MD (OWNER)
(717) 460-8885
Entity
Organization
Contact information
Practice address
709 BREEDLOVE DR, MONROE, GA 30655-2055
(717) 460-8885
Mailing address
2483 HERITAGE VILLAGE, SUITE 16 - 490, SNELLVILLE, GA 30078
(470) 610-0644
(470) 610-0650
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
10/30/2022
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