Individual
RICHARD PANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 PRINCE AVE, MIND BODY INSTITUTE, ATHENS, GA 30606-2797
(706) 475-4722
(706) 475-6717
Mailing address
1199 PRINCE AVE, MIND BODY INSTITUTE, ATHENS, GA 30606-2797
(706) 475-4722
(706) 475-6717
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
017870
GA
Other
Enumeration date
06/23/2009
Last updated
08/25/2009
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