Provider Demographics
NPI:1003043084
Name:NORTH FULTON PSYCHIATRIC CARE PC
Entity Type:Organization
Organization Name:NORTH FULTON PSYCHIATRIC CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:WINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-442-1150
Mailing Address - Street 1:1380 UPPER HEMBREE RD
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1146
Mailing Address - Country:US
Mailing Address - Phone:770-442-1150
Mailing Address - Fax:
Practice Address - Street 1:1380 UPPER HEMBREE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1146
Practice Address - Country:US
Practice Address - Phone:770-442-1150
Practice Address - Fax:770-772-0416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA264122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty