Provider Demographics
NPI:1134126733
Name:STRAETMANS, JOHN PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PATRICK
Last Name:STRAETMANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:LOUISE
Other - Last Name:STRAETMANS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OFFICE MANAGER
Mailing Address - Street 1:294 S MAIN ST
Mailing Address - Street 2:STE 200
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-1969
Mailing Address - Country:US
Mailing Address - Phone:770-754-5555
Mailing Address - Fax:770-754-5511
Practice Address - Street 1:294 S MAIN ST
Practice Address - Street 2:STE 200
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-1969
Practice Address - Country:US
Practice Address - Phone:770-754-5555
Practice Address - Fax:770-754-5511
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0360192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA036019OtherMMEDICAL LICENSE NO