Organization
NORTH GEORGIA PSYCHIATRIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRIS GADDE (CEO)
(678) 666-6990
Entity
Organization
Contact information
Practice address
2450 ATLANTA HWY, SUITE 802, CUMMING, GA 30040-8099
(678) 666-6990
(770) 246-9098
Mailing address
3274 LOCKETT TRCE, DULUTH, GA 30097-5013
(678) 666-6990
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
058213979
GA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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