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NPI Code Detail

MEDICARE: DR. ADAM BRETT WARSHOWSKY PH.D.

MEDICARE: DR. ADAM BRETT WARSHOWSKY PH.D.
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
1103G00000XClinical Neuropsychologist003327GA
2103TC0700XClinical PsychologistPSY003327GA

General Provider Information

NPI Number : 1265685853
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM BRETT WARSHOWSKY PH.D.
Provider Business Mailing Address
First Line : 8910 MAIN ST
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-4916
Country : US
Telephone Number : 770-924-1818
Fax Number : 770-928-5731
Provider Business Practice Location Address
First Line : 1899 POWERS FERRY RD SE FL 2
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5620
Country : US
Telephone Number : 678-831-0608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 03/20/2025

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