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General NPI Number Information
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NPI Number | 1316936545
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Entity Type | Organization
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Legal Business Name | CENTER FOR PSYCHIATRIC CARE PC
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4112 ARKWRIGHT RD
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City | MACON
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State | GA
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Zip | 31210-1707
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Country | US
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Telephone | 478-405-9945
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Fax | 478-405-9951
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Provider Business Mailing Address
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Address Line | PO BOX 1775
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City | MACON
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State | GA
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Zip | 31202-1775
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Country | US
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Telephone | 478-405-9945
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Fax | 478-405-9951
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES W BRANAM JR.
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Credential | MD
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Telephone | 478-405-9945
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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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