EAMON DUTTA, MD PC
Psychiatric at Peachford Rd, Atlanta, GA

License number
Georgia 046593
Category
Psychiatric
Type
Psychiatry
Owner
Name: KENNETH R WARNER
Title: BILLING
Phone: (770) 458-1594
Address
Address
2150 Peachford Rd SUITE A, Atlanta, GA 30338
National Provider ID: 1629246137
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAMON DUTTA, M.D., PC

Atlanta, GA

Industry:
Medical Doctor's Office, Psychiatrist
Doing business as:
Eamon Dutta MD
Registration:
Nov 2, 2005
Phone:
(770) 833-0227 (Phone)
Addresses:
2150 Peachford Rd Suite A SUITE A, Atlanta, GA 30338 (Physical)
2150 Peachford Rd, Atlanta, GA 30338
State ID:
0574779
Business type:
Domestic Professional Corporation
Chief Executive Officers:
Eamon Dutta (Secretary, Medical Doctor), 160 Wicksford Gln, Atlanta, GA 30350 (Physical),Kenneth R. Warner (Billing),Eamon Dutik (Chief Executive Officer)

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