Psych Practice LLC

NPI #1689060790 in Douglas, Georgia

Provider Information

NPI Number
1689060790
Entity Type
Organization
Organization Name
Psych Practice LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Apr 15, 2015
Last Updated
Apr 15, 2015

Practice Location

Address
410 SHIRLEY AVE
State
Georgia
ZIP Code
31533-2002
Phone
(912) 260-1206

Authorized Official

Name
MR. MUBBASHIR M KHAN, M.D
Title
CEO/ M.D
Phone
(912) 260-1206

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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