MEDPSYCH SERVICES, PC
Medical Practice at Riverside Pkwy, Rome, GA

License number
Georgia PSY002010
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JOHN SCOTT BARANCHOK PHD
Title: OWNER
Phone: (706) 290-0535
Address
Address
504 Riverside Pkwy NE SUITE 300, Rome, GA 30161
National Provider ID: 1952443020
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MEDPSYCH SERVICES, PC

504 Riverside Pkwy SUITE 300, Rome, GA 30161

Registration:
Jun 30, 2003
State ID:
0336427
Business type:
Domestic Professional Corporation
CEOs:
S. John Baranchok (CFO), 20 Riverbend Dr SW, Rome, GA 30161 (Physical),John Baranchok (CEO), 504 Riverside Pkwy SUITE 300, Rome, GA 30161 (Physical)
Agent:
John S. Baranchok,504 Riverside Pkwy SUITE 300, Rome, GA (Physical)

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