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Contact Information

INTEGRATED WELLNESS CENTER LLC
11500 WEBB BRIDGE WAY
SUITE 5A
ALPHARETTA, GA30005-2046
 Phone: 770-521-8994
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for INTEGRATED WELLNESS CENTER LLC · (Female)

NPI # 1497083083
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2009
Last updated 08/20/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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