Provider Demographics
NPI:1508501206
Name:MINDSPRING HEALTH INC.
Entity Type:Organization
Organization Name:MINDSPRING HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:UMAIR
Authorized Official - Last Name:JANJUA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-618-1854
Mailing Address - Street 1:1209 THORNCLIFF CT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-8139
Mailing Address - Country:US
Mailing Address - Phone:404-618-1854
Mailing Address - Fax:
Practice Address - Street 1:1074 PONCE DE LEON AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-4216
Practice Address - Country:US
Practice Address - Phone:404-618-1854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-28
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty