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Individual

JUSTIN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1810 MULKEY RD STE 202, AUSTELL, GA 30106-1150
(770) 694-6349
Mailing address
29 LAKE OVERLOOK DR, WHITE, GA 30184-4812
(770) 490-0548

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN222607
GA

Other

Enumeration date
02/15/2023
Last updated
10/09/2025
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