National Provider Identifier Database

INTEGRATIVE MEDICAL MANAGEMENT GROUP
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

INTEGRATIVE MEDICAL MANAGEMENT GROUP
710 DACULA RD STE 4A
DACULA, GA30019-7014
Phone: 678-478-4305
Fax: 678-608-3411
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for INTEGRATIVE MEDICAL MANAGEMENT GROUP

NPI Number 1548764988
Legal business name
LBN
INTEGRATIVE MEDICAL MANAGEMENT GROUP
Authorized official CASSAUNDRA GRAVES - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/21/2018
Last updated 03/21/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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