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General NPI Number Information
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NPI Number | 1659313195
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Entity Type | Organization
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Legal Business Name | ATLANTA PSYCHIATRIC INSTITUTE
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5400 LAUREL SPRINGS PKWY UNIT 602
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City | SUWANEE
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State | GA
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Zip | 30024-6056
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Country | US
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Telephone | 770-573-9255
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Fax | 770-573-0505
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Provider Business Mailing Address
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Address Line | PO BOX 27270
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City | MACON
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State | GA
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Zip | 31221-7270
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Country | US
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Telephone | 478-405-5880
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Fax | 478-405-5992
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Authorized Official
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Title or Position | OWNER
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Name | JAGAN CHILAKAMARRI
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Credential | MD
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Telephone | 770-573-9255
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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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