# INTEGRATIVE CENTERS SCIENCE AND MEDICINE

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

## Provider details

- **NPI number:** 1235547134
- **Authorized official:** DR. NOEL BOAZ (PRESIDENT)
- **Authorized official phone:** (276) 632-4276

## Contact information

- **Practice address:** 315 HOSPITAL DR, SUITE 206, MARTINSVILLE, VA 24112-1945
- **Practice address phone:** (276) 632-4276
- **Practice address fax:** (276) 632-6355
- **Mailing address:** 315 HOSPITAL DR, SUITE 206, MARTINSVILLE, VA 24112-1945
- **Mailing address phone:** (276) 632-4276
- **Mailing address fax:** (276) 632-6355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101241213 | VA | Yes |

## Other

- **Enumeration date:** 07/24/2014
- **Last updated:** 07/24/2014