Organization
INSTITUTE FOR BEHAVIORAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF ATTALLA MD (OWNER)
(770) 319-8013
Entity
Organization
Contact information
Practice address
696 CONCORD RD SE, SMYRNA, GA 30082-2629
(770) 319-8013
(770) 319-8021
Mailing address
696 CONCORD RD SE, SMYRNA, GA 30082-2629
(770) 319-8013
(770) 319-8021
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
054960
GA
Other
Enumeration date
05/01/2007
Last updated
03/24/2017
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