Organization
PSYCHIATRY ASSOCIATES OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIJ B GULATI (MD/VICE PRESIDENT)
(678) 284-0133
Entity
Organization
Contact information
Practice address
130 EAGLE SPRING CT, SUITE 100A, STOCKBRIDGE, GA 30281-7274
(678) 284-0133
(678) 284-6393
Mailing address
PO BOX 870972, STONE MOUNTAIN, GA 30087-0025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52570
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241352090C
—
GA
Enumeration date
01/15/2009
Last updated
01/15/2009
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