Provider Demographics
NPI:1306274352
Name:SHVARTS PSYCHIATRIC SERVICES, P.C.
Entity type:Organization
Organization Name:SHVARTS PSYCHIATRIC SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:POLINA
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHVARTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-288-9339
Mailing Address - Street 1:4996 PRICE DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4186
Mailing Address - Country:US
Mailing Address - Phone:678-288-9339
Mailing Address - Fax:678-802-3123
Practice Address - Street 1:1400 BUFORD HWY BLDG R
Practice Address - Street 2:R-6
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-8721
Practice Address - Country:US
Practice Address - Phone:678-288-9339
Practice Address - Fax:678-802-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA068560174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty