Organization
HNI MEDICAL SERVICES OF GEORGIA, LLC
Active
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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