Provider Demographics
NPI:1093723660
Name:WARSAW, GEORGE ROBERT (PHD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ROBERT
Last Name:WARSAW
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 CARPENTER DRIVE
Mailing Address - Street 2:SUITE #110
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4920
Mailing Address - Country:US
Mailing Address - Phone:404-256-0244
Mailing Address - Fax:404-256-0242
Practice Address - Street 1:290 CARPENTER DRIVE
Practice Address - Street 2:SUITE #110
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4920
Practice Address - Country:US
Practice Address - Phone:404-256-0244
Practice Address - Fax:404-256-0242
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA184101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional