Organization
R MICHAEL PRUDENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL PRUDENT MD (OWNER)
(404) 685-3113
Entity
Organization
Contact information
Practice address
675 SEMINOLE AVE NE, SUITE 305, ATLANTA, GA 30307-3408
(404) 685-3113
(404) 601-4494
Mailing address
675 SEMINOLE AVE NE, SUITE 305, ATLANTA, GA 30307-3408
(404) 685-3113
(404) 601-4494
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
037340
GA
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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