INTEGRATED MEDICAL OF GEORGIA, LLC; NPI #1801405998

Contact Information

INTEGRATED MEDICAL OF GEORGIA, LLC

596 SEMINOLE DR NE
MARIETTA, GA 30060-1508

Phone: 770-428-4909
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	208D00000X	99	Physician/Undefined Physician type[6]

Indicates primary specialty

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NPI Profile & details for INTEGRATED MEDICAL OF GEORGIA, LLC

NPI #	`1801405998`
LBN Legal business name	INTEGRATED MEDICAL OF GEORGIA, LLC
Authorized official	ENRIQUE CRESPO - (CLINIC ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/24/2020
Last updated	07/24/2020 - About 6 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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INTEGRATED MEDICAL OF GEORGIA, LLC

Contact Information

Specialty

General Practice

NPI Profile & details for INTEGRATED MEDICAL OF GEORGIA, LLC

Reviews for INTEGRATED MEDICAL OF GEORGIA, LLC