Organization
HNI MEDICAL SERVICES OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ALLAN CARLETTI (VP OPERATIONS)
(330) 727-3530
Entity
Organization
Contact information
Practice address
1 TECHNOLOGY PKWY S, NORCROSS, GA 30092-2928
(678) 743-1968
Mailing address
30575 BAINBRIDGE RD STE 200, SOLON, OH 44139-2275
(440) 542-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
06/11/2020
Last updated
08/22/2023
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