National Provider Identifier Database

INTEGRATED MEDICAL OF GEORGIA LLC
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

INTEGRATED MEDICAL OF GEORGIA, LLC
596 SEMINOLE DR NE
MARIETTA, GA30060-1508
Phone: 770-428-4909
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for INTEGRATED MEDICAL OF GEORGIA, LLC

NPI Number 1801405998
Legal business name
LBN
INTEGRATED MEDICAL OF GEORGIA, LLC
Authorized official ENRIQUE CRESPO - (CLINIC ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/24/2020
Last updated 07/24/2020 - About 6 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.

Reviews for INTEGRATED MEDICAL OF GEORGIA, LLC

There are currently no reviews for INTEGRATED MEDICAL OF GEORGIA, LLC


NPIdb - Home
v2.201