Individual
DR. JOHN RICHARD PADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1708 PEACHTREE ST NW, SUITE 400, ATLANTA, GA 30309-2434
(404) 874-3498
(404) 874-8305
Mailing address
1708 PEACHTREE ST NW, SUITE 400, ATLANTA, GA 30309-7022
(404) 874-3498
(404) 874-8305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1085
NM
103T00000X
Psychologist
Primary
911
GA
Other
Enumeration date
02/18/2011
Last updated
02/21/2011
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