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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

NPI Number 1235603176
LBN Legal business name INTEGRATED MEDICINE OF ATHENS, LLC
Authorized official JOEL GROFT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2019
Last updated 01/14/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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