Organization
SOUTHSIDE PSYCHIATRIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN LYLE M.D. (SECRETARY)
(770) 506-8187
Entity
Organization
Contact information
Practice address
7444 HANNOVER PKWY S, STE. 200, STOCKBRIDGE, GA 30281-9303
(770) 506-8187
(770) 506-7436
Mailing address
7444 HANNOVER PKWY S, STE. 200, STOCKBRIDGE, GA 30281-9303
(770) 506-8187
(770) 506-7436
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024707
GA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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