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Contact Information

YOUTHFULMD INTEGRATIVE HEALTH LLC
3105 CREEKSIDE VILLAGE DR NW STE 801
KENNESAW, GA30144-4218
 Phone: 781-475-2735
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for YOUTHFULMD INTEGRATIVE HEALTH LLC

NPI Number 1548918196
LBN Legal business name YOUTHFULMD INTEGRATIVE HEALTH LLC
Authorized official NDIDIAMAKA OBADAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2022
Last updated 07/14/2023 - About 3 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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