Organization
CARE CENTER
Active
Parent organization
UNIVERSITY OF GEORGIA
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF GEORGIA
Authorized official
DR. LISA RENZI PHD, MS (CLINIC COORDINATOR)
(706) 542-2252
Entity
Organization
Contact information
Practice address
102 SPEAR RD, ATHENS, GA 30602-5038
(706) 542-2252
Mailing address
102 SPEAR RD, ATHENS, GA 30602-5038
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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