MARK F BRECHTEL PHD PC
Ambulatory Health at Huntington Rd, Athens, GA

License number
Georgia PSY002805
Category
Ambulatory Health
Type
Adult Mental Health
Owner
Name: DR. MARK F BRECHTEL PHD
Title: PRESIDENT
Phone: (706) 372-6199
Address
Address 2
1 Huntington Rd STE 103, Athens, GA 30606
428 Sawdust Trl, Nicholson, GA 30565
National Provider ID: 1629207204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARK F. BRECHTEL, PH.D., PC

1 Huntington Rd SUITE 103, Athens, GA 30606

Registration:
Aug 22, 2008
State ID:
08069179
Business type:
Domestic Professional Corporation
Secretary:
F Mark Brechtel (Secretary), 1 Huntington Rd #13, Athens, GA 30606 (Physical)
Agent:
Mark F. Brechtel,428 Sawdust Trl, Nicholson, GA (Physical)

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