MEDICARE: DR. NANCY J STRAUCH M.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
1	2084P0800X	Psychiatry Physician	J5649	TX

General Provider Information

NPI Number	:	1376697037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY J STRAUCH M.D.

Provider Business Mailing Address
First Line	:	1776 PEACHTREE ST NW
Second Line	:	STE 310N
City	:	ATLANTA
State	:	GA
Zip	:	30309-2307
Country	:	US
Telephone Number	:	404-350-8151
Fax Number	:	404-350-8470

Provider Business Practice Location Address
First Line	:	1776 PEACHTREE ST NW
Second Line	:	STE 310N
City	:	ATLANTA
State	:	GA
Zip	:	30309-2307
Country	:	US
Telephone Number	:	404-350-8151
Fax Number	:	404-350-8470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	03/08/2012

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