institution
Ascension Psychiatric Services Llc
Psychiatric/Mental Health Nurse Practitioner in Fayetteville, Georgia
NPI 1720748262

Ascension Psychiatric Services Llc is a Psychiatric/Mental Health Nurse Practitioner based in Fayetteville, GA and is specialized in Psychiatric/Mental Health. Ascension Psychiatric Services Llc practices in Fayetteville, GA. The NPI Number for Ascension Psychiatric Services Llc is 1720748262 and holds a License No. (Georgia).

The current practice location address for Ascension Psychiatric Services Llc is 330 Phillips Dr, Fayetteville, GA and can be reached out via phone at 310-809-6033. You can also correspond with Ascension Psychiatric Services Llc through the mailing address at 330 PHILLIPS DR, FAYETTEVILLE, GA - 30214-4375 (mailing address contact number: 310-809-6033).

Location: 330 Phillips Dr, Fayetteville, GA, 30214-4375
institution
Provider Profile Details
NPI Number
1720748262
Provider Name
Ascension Psychiatric Services Llc
Credential
Provider Entity Type
Organization
Address
330 Phillips Dr, Fayetteville, GA, 30214-4375
Phone Number
310-809-6033
Fax Number
Provider Enumeration Date
12/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558904169 05 GA
institution
Provider Business Practice Location Address Details
Address
330 Phillips Dr
City
State
Zip
30214-4375
Phone Number
310-809-6033
Fax Number
person
Provider Business Mailing Address Details
Address
330 Phillips Dr
City
State
Zip
30214-4375
Phone Number
310-809-6033
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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