Provider Demographics
NPI:1770033425
Name:TALBOTT DUNWOODY
Entity Type:Organization
Organization Name:TALBOTT DUNWOODY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EVP - CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-382-3319
Mailing Address - Street 1:5355 HUNTER RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-2594
Mailing Address - Country:US
Mailing Address - Phone:678-251-3100
Mailing Address - Fax:770-994-3990
Practice Address - Street 1:4480 N SHALLOWFORD RD STE 224
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6410
Practice Address - Country:US
Practice Address - Phone:678-251-3211
Practice Address - Fax:770-970-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADRUG12459251S00000X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health