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Contact Information

INTERNATIONAL COMMUNITY MEDICAL NETWORK, LLC
1900 WINDSOR DR SW
ATLANTA, GA30311-4414
 Phone: 559-455-3934
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
 

General Practice

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

NPI Profile & details for INTERNATIONAL COMMUNITY MEDICAL NETWORK LLC · (Female)

NPI Number 1750721221
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2013
Last updated 06/28/2013 - About 13 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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