Provider Demographics
NPI:1972263424
Name:GEORGIA PSYCHIATRIC CENTER, LLC
Entity Type:Organization
Organization Name:GEORGIA PSYCHIATRIC CENTER, LLC
Other - Org Name:THE PSYCHIATRIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-745-9306
Mailing Address - Street 1:3100 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31204-2312
Mailing Address - Country:US
Mailing Address - Phone:478-745-9206
Mailing Address - Fax:250-999-6620
Practice Address - Street 1:3100 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31204-2312
Practice Address - Country:US
Practice Address - Phone:478-745-9206
Practice Address - Fax:250-999-6620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-26
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty