# ATLANTA INNOVATIVE MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093359382
- **Authorized official:** KRUTI PATEL (OFFICE MANAGER)
- **Authorized official phone:** (770) 416-9995

## Contact information

- **Practice address:** 8460 HOLCOMB BRIDGE RD STE 200, ALPHARETTA, GA 30022-6868
- **Practice address phone:** (770) 416-9995
- **Mailing address:** 8460 HOLCOMB BRIDGE RD STE 200, ALPHARETTA, GA 30022-6868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2019
- **Last updated:** 02/28/2020