ADVANCED INTEGRATED HEALTH & PHYSICAL MEDICINE NPI 1962802512

NPI Information

NPI: 1962802512
Provider Name: ADVANCED INTEGRATED HEALTH & PHYSICAL MEDICINE
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
325 HAMMOND DR
SUITE 201-A
ATLANTA, GA
ZIP 30328
Phone: (404) 256-0114
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ADVANCED INTEGRATED HEALTH & PHYSICAL MEDICINE is a general practice in Atlanta, GA. ADVANCED INTEGRATED HEALTH & PHYSICAL MEDICINE NPI is 1962802512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 HAMMOND DR
SUITE 201-A
ATLANTA, GA
ZIP 30328-032
Phone: (404) 256-0114
Fax: (404) 256-0167

The provider's authorized official is Lynne Cunningham .
The authorized official title is Physician and has the following contact phone number (404) 256-0114.

The enumeration date for this NPI number is 9/2/2014 and was last updated on 9/2/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		049970	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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