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NPI Profile for ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC in SHARPSBURG, GA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI # | 1245579234 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/11/2013 | |
| Last updated | 03/26/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC