Provider Demographics
NPI:1285976928
Name:KAMINS, R MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:R
Middle Name:MATTHEW
Last Name:KAMINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2480 BRIARCLIFF RD NE
Mailing Address - Street 2:SUITE 6-233
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3034
Mailing Address - Country:US
Mailing Address - Phone:404-499-1444
Mailing Address - Fax:404-499-1444
Practice Address - Street 1:2480 BRIARCLIFF RD NE
Practice Address - Street 2:SUITE 6-233
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3034
Practice Address - Country:US
Practice Address - Phone:404-499-1444
Practice Address - Fax:404-499-1444
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2016-10-15
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Provider Licenses
StateLicense IDTaxonomies
GA0398322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF53511Medicare UPIN