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Contact Information

REGINALD MAYERS
6500 MCDONOUGH DR STE B2
NORCROSS, GA30093-1235
 Phone: 770-242-7865
 Fax: 770-242-7909
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for REGINALD MAYERS · (Male)

NPI Number 1093057820
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2013
Last updated 01/17/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 0965
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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