Albany Addiction Associates, Inc. D/B/a Private Clinic Albany
Organization Active NPI Pharmacotherapy Pharmacist · Albany, GA
NPI 1124331970 · NPPES record last updated Jul 22, 2010
Key facts
- NPI
- 1124331970
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- PHOP000026 (GA)
- Legal business name
- ALBANY ADDICTION ASSOCIATES, INC. D/B/A PRIVATE CLINIC ALBANY
- Practice address
- 2607 Ledo Rd
Albany, GA 31707-1211 - Phone
- (229) 903-0022
- Fax
- (229) 903-0025
- NPI assigned
- Jul 22, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Jonathan Paul Connell, M.A.
- Title
- President
- Phone
- (229) 903-0022
National Provider Directory
Locations
2607 Ledo Rd
Albany, GA 31707
Phone (229) 903-0022
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist |
1835P1200X | PHOP000026 | GA | Yes |
| Addiction Medicine (Psychiatry & Neurology) Physician |
2084A0401X | NTP001025 | GA |
Addresses
Primary practice location
2607 Ledo Rd
Albany, GA 31707-1211
Mailing address
2607 Ledo Rd
Albany, GA 31707-1211
Phone (229) 903-0022
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All providers in Albany, GA · Pharmacotherapy Pharmacist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.