Provider Demographics
NPI:1992534895
Name:SYMPHONY PSYCHIATRY
Entity type:Organization
Organization Name:SYMPHONY PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SHANINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-684-6262
Mailing Address - Street 1:375 HIGHLAND AVE NE UNIT 801
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1383
Mailing Address - Country:US
Mailing Address - Phone:678-371-8700
Mailing Address - Fax:
Practice Address - Street 1:3355 LENOX RD NE STE 1000
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-2000
Practice Address - Country:US
Practice Address - Phone:470-684-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty