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INNOVATIVE MEDICAL INC. NPI 1003146143


NPI Information

NPI: 1003146143
Provider Name: INNOVATIVE MEDICAL, INC.

Doing Business As: NOVO TOTAL WELLNESS

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1300 PEACHTREE INDUSTRIAL BLVD
SUITE 2203
SUWANEE, GA
ZIP 30024
Phone: (770) 988-2779
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INNOVATIVE MEDICAL, INC. is a family medicine in Suwanee, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INNOVATIVE MEDICAL, INC. NPI is 1003146143. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Novo Total Wellness.

The provider's business location address is:

1300 PEACHTREE INDUSTRIAL BLVD
SUITE 2203
SUWANEE, GA
ZIP 30024-539
Phone: (770) 988-2779
Fax: (678) 730-0229

The provider's authorized official is Connie Y Jeon .
The authorized official title is Clinic Director and has the following contact phone number (770) 988-2779.

The enumeration date for this NPI number is 1/13/2010 and was last updated on 1/13/2010.


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
1207Q00000XFamily Medicine058168GEORGIAYes

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: 5/5/2024

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