NPI 1124331970 · live from the CMS NPI Registry
Albany Addiction Associates, INC. D/B/A Private Clinic Albany
Pharmacist, Pharmacotherapy in Albany, GA. National Provider Identifier 1124331970, active.
NPI record
| NPI | 1124331970 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist, Pharmacotherapy 1835P1200X |
| Practice location | 2607 Ledo Rd, Albany, GA 31707 |
| Practice phone | 229-903-0022 |
| Enumerated | July 22, 2010 |
| Last updated | July 22, 2010 |
| Authorized official | Jonathan Connell, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Addiction Medicine | 2084A0401X | NTP001025 (GA) |
| Pharmacist, Pharmacotherapy primary | 1835P1200X | PHOP000026 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.