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NPI Code Detail

MEDICARE: DORIS EMILY CHRISTOPHER LMSW

MEDICARE:   DORIS EMILY CHRISTOPHER  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerMSW001390GA

General Provider Information

NPI Number : 1073781159
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS EMILY CHRISTOPHER LMSW
Provider Business Mailing Address
First Line : 1491 HOLLY BANK CIR
Second Line :
City : DUNWOODY
State : GA
Zip : 30338-3324
Country : US
Telephone Number : 770-673-0940
Fax Number :
Provider Business Practice Location Address
First Line : 1945 MASON MILL RD STE 100
Second Line :
City : DECATUR
State : GA
Zip : 30033-4006
Country : US
Telephone Number : 404-215-0577
Fax Number : 404-321-4887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2008
Last Update Date : 02/12/2008

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Directions to “ DORIS EMILY CHRISTOPHER LMSW” Practice Location

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