GEODE HEALTH OF GEORGIA LLC

LAWRENCEVILLE, GA
NPI1477265718
Entity TypeOrganization
Authorized ContactRAVI N SHAH
Cmo
630-686-2706
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2022-12-19
Last Update Date2024-06-03
Business Address
GEODE HEALTH OF GEORGIA LLC
227 SCENIC HWY STE A
LAWRENCEVILLE, GA 30046-5649
Phone number: 630-912-4241
Mailing Address
GEODE HEALTH OF GEORGIA LLC
1211 W 22ND ST STE 406
OAK BROOK, IL 60523-2169
Phone number: 888-902-1704