Individual
JOHN G ARENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3141
(706) 721-6602
Mailing address
4016 BRADDOCK ST, MARTINEZ, GA 30907-2106
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY00952
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000437456A
—
GA
05
—
PS0185
—
SC
Enumeration date
08/30/2006
Last updated
07/09/2007
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