KEITH FALLON, PSY.D., P.C.
Psychologist at Green St, Conyers, GA

License number
Georgia PSY002856
Category
Psychologist
Type
Psychologist
Owner
Name: DR. KEITH JAMES FALLON PSY.D.
Title: CEO
Phone: (404) 502-5824
Address
Address
1100 Green St SW, Conyers, GA 30012
National Provider ID: 1801947569
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KEITH FALLON, PSY.D., P.C. at bizstanding.com

KEITH FALLON, PSY.D., PC

PO Box 1790, Conyers, GA 30012

Registration:
Nov 30, 2006
State ID:
06103104
Business type:
Domestic Professional Corporation
CEO:
Keith Fallon (CEO), PO Box 1790, Conyers, GA 30012 (Physical)
Agent:
Matthew M. Liss,5 Concourse Pkwy SUITE 2600, Atlanta, GA (Physical)

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