Organization
EATING DISORDER RECOVERY CENTER OF ATHENS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN WEITZMAN SWAIN PH. D. (OWNER)
(706) 552-0450
Entity
Organization
Contact information
Practice address
1 HUNTINGTON RD, SUITE 801, ATHENS, GA 30606-7204
(706) 552-0450
(706) 850-7211
Mailing address
1 HUNTINGTON RD, SUITE 801, ATHENS, GA 30606-7204
(706) 552-0450
(706) 850-7211
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY002033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003111010A
—
GA
Enumeration date
06/20/2013
Last updated
06/20/2013
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