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Individual

DR. MEREDITH BURNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
225 CREEKSTONE RDG STE 22, WOODSTOCK, GA 30188-3744
(770) 765-2990
(770) 234-6853
Mailing address
225 CREEKSTONE RDG STE 22, WOODSTOCK, GA 30188-3744
(770) 765-2990
(770) 234-6853

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002186
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184753840
NPI (GROUP)
GA
05
461532546E
GA
Enumeration date
05/22/2008
Last updated
09/16/2021
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