Organization
SOZO PSYCHIATRIC PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED AMJAD IMAM M.D (CEO)
(770) 881-8495
Entity
Organization
Contact information
Practice address
1 TECHNOLOGY PKWY S, NORCROSS, GA 30092-2928
(678) 713-2600
Mailing address
PO BOX 967, DULUTH, GA 30096-0018
(770) 881-8495
(770) 237-8200
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
68148
GA
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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