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THE CENTER FOR INTERNAL & INTEGRATIVE MEDICINE PA NPI 1801256326


NPI Information

NPI: 1801256326
Provider Name: THE CENTER FOR INTERNAL & INTEGRATIVE MEDICINE, PA
Classification: Internal Medicine - 207RB0002X
Entity Type: Organization

Specialization: Obesity Medicine

CLIA Number: 11D2108412

Address:
401 S MAIN ST STE B3
ALPHARETTA, GA
ZIP 30009
Phone: (404) 836-9906
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THE CENTER FOR INTERNAL & INTEGRATIVE MEDICINE, PA is an obesity medicine internal medicine in Alpharetta, GA. The provider is an internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. THE CENTER FOR INTERNAL & INTEGRATIVE MEDICINE, PA NPI is 1801256326. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

401 S MAIN ST STE B3
ALPHARETTA, GA
ZIP 30009-958
Phone: (404) 836-9906
Fax: (470) 545-4768

The provider's authorized official is Eduard Fatakhov .
The authorized official title is Founder/ceo and has the following contact phone number (770) 256-7069.

The CLIA number assigned to this NPI record is 11D2108412 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2016 and was last updated on 2/25/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RB0002XInternal MedicineObesity Medicine71068GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11710241658OTHERGEORGIAINDIVIDUAL NPI NUMBER
21295099018OTHERGEORGIANPI INDIVIDUAL

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: 4/28/2024

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