Botti, Deborah Ida
Botti, Deborah Ida is an individual health care provider with primary practice located at 3400 Peachtree Rd Suite 915, Atlanta GA 30326-1107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Botti, Deborah Ida can be contacted via phone (404) 812-0011.Contact Information
Primary practice address
3400 Peachtree Rd Suite 915
Atlanta GA 30326-1107
Phone: (404) 812-0011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 29146 | Georgia |
Profile Details
| NPI number | 1003931874 |
|---|---|
| LBN Legal business name | Botti, Deborah Ida |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003931874 | NPPES |
| Georgia | MEDICAID | 00429B11D |
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