Georgia Psych Services LLC
NPI #1245801075 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1245801075
- Entity Type
- Organization
- Organization Name
- Georgia Psych Services LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 2, 2021
- Last Updated
- Aug 24, 2021
Practice Location
- Address
- 4922 BILL GARDNER PKWY # 2
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3647
- Phone
- (330) 536-3746
Authorized Official
- Name
- ROBERT SEAN RAE, MD
- Title
- CEO
- Phone
- (330) 536-3746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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