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General NPI Number Information
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NPI Number | 1467363978
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC CARE OF GEORGIA
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 2310 PARKLAKE DR NE
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City | ATLANTA
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State | GA
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Zip | 30345-2913
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Country | US
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Telephone | 800-423-9991
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Fax | 470-523-4429
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Provider Business Mailing Address
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Address Line | 1201 W PEACHTREE ST NW
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City | ATLANTA
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State | GA
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Zip | 30309-3449
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Country | US
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Telephone | 800-423-9991
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Fax | 470-523-4429
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Authorized Official
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Title or Position | ORGANIZER
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Name | DR. SHATRECE JENKINS
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Credential |
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Telephone | 800-423-9991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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