Organization
NICK A DEFILIPPIS, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK ANTHONY DEFILIPPIS PH.D. (PRESIDENT)
(770) 730-9930
Entity
Organization
Contact information
Practice address
990 HAMMOND DR NE, SUITE 730, ATLANTA, GA 30328-5529
(770) 730-9930
Mailing address
990 HAMMOND DRIVE, SUITE 730, ATLANTA, GA 30328
(770) 730-9930
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
536
GA
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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