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General NPI Number Information
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NPI Number | 1003752247
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Entity Type | Organization
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Legal Business Name | GWINNETT HOLISTIC PSYCHIATRY, LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 912 KILLIAN HILL RD SW STE 202N
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City | LILBURN
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State | GA
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Zip | 30047-3110
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Country | US
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Telephone | 678-400-4424
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Fax |
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Provider Business Mailing Address
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Address Line | 4335 BENDING RIVER TRL SW
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City | LILBURN
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State | GA
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Zip | 30047-4554
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS YUN
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Credential | MD
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Telephone | 678-400-4424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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