Individual
DR. GLEN H HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
11113 HOUZE RD, SUITE 100, ROSWELL, GA 30076
(770) 998-1516
(770) 998-1711
Mailing address
11113 HOUZE RD, SUITE 100, ROSWELL, GA 30076
(770) 998-1516
(770) 998-1711
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32748
GA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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