| Jeffrey H. Flatow, M.d., Llc | |
|
5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043-7831 | |
| (678) 985-9030 | |
| (678) 985-9485 |
| Full Name | Jeffrey H. Flatow, M.d., Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5435 Sugarloaf Pkwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Jeffrey H Flatow (OWNER) |
| Authorized Official Contact | 6789859030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey H. Flatow, M.d., Llc 5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043-7831 Ph: (678) 985-9030 | Jeffrey H. Flatow, M.d., Llc 5435 Sugarloaf Pkwy Suite 1104 Lawrenceville GA 30043-7831 Ph: (678) 985-9030 |
| NPI Number | 1104190644 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 03/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104190644 | NPI | - | NPPES |
| 00384777B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 028543 (Georgia) | Primary |
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