NPI 1255992319
Mose and Garrison Siskin Memorial Foundation
Practice location
- Address
- 55 Atlanta St SE STE 399, Marietta, GA 30060-1977
- Phone
- (423) 490-7710
- Fax
- (423) 490-7750
- Mailing address
- 1101 Carter St, Chattanooga, TN 37402-5017
Authorised official
- Name
- Stephanie Cooper-Wilkes
- Title
- Director Healthcare Administration
- Phone
- (423) 490-7727
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1255992319
- Entity type
- Organization
- NPI issued
- 27 Jun 2019
- Record last updated
- 27 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.