Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Juntira Laothavorn, MD

Individual provider Psychiatry Physician · NPI 1700140712

Dr. Juntira Laothavorn, MD is a Psychiatry Physician in Atlanta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia and Illinois.

Licensed in
GA, IL
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1745 Phoenix Blvd Ste 240
Atlanta, GA 30349-5534
Phone: (404) 507-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 — (309) 495-1640

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 076279 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 125061354 (IL)

Record details

NPI number1700140712
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 25, 2012
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

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