MEDICARE: DR. NANCY SINEATH RANK PHD

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	101YP2500X	Professional Counselor	LPC001279	GA

General Provider Information

NPI Number	:	1487907473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY SINEATH RANK PHD

Provider Business Mailing Address
First Line	:	3525 PIEDMONT ROAD NE
Second Line	:	BUILDING 8, SUITE 102
City	:	ATLANTA
State	:	GA
Zip	:	30305-1578
Country	:	US
Telephone Number	:	404-848-9948
Fax Number	:	404-848-9974

Provider Business Practice Location Address
First Line	:	3525 PIEDMONT RD NE
Second Line	:	BUILDING 8, SUITE 102
City	:	ATLANTA
State	:	GA
Zip	:	30305-1578
Country	:	US
Telephone Number	:	404-848-9948
Fax Number	:	404-848-9974

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

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	10/16/2012

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