Organization
MED PATH PROFESSIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA L WEBSTER-FABAYO M.S. PSYCHOLOGY (CEO)
(678) 284-9010
Entity
Organization
Contact information
Practice address
4030 N HENRY BLVD, SUITE 101, STOCKBRIDGE, GA 30281-7413
(678) 284-9010
(678) 284-9020
Mailing address
4030 N HENRY BLVD, SUITE 101, STOCKBRIDGE, GA 30281-7413
(678) 284-9010
(678) 284-9020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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