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Contact Information

INTEGRATED MEDICINE OF ATHENS, LLC
623 N MILLEDGE AVE UNIT A
ATHENS, GA30601-3803
 Phone: 706-227-3292
 Fax: 888-809-9345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

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

NPI Profile & details for INTEGRATED MEDICINE OF ATHENS LLC · (Female)

NPI # 1235603176
Status Active
Credentials
Entity Individual
Enumeration date 01/14/2019
Last updated 01/14/2019 - About 7 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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