# INNOVATIVE HEALTH CENTERS, LLC

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

## Provider details

- **NPI number:** 1245422641
- **Authorized official:** DR. CARL SHENKMAN M.D. (MED DIR)
- **Authorized official phone:** (866) 455-5816

## Contact information

- **Practice address:** 11877 DOUGLAS RD, STE 102-271, ALPHARETTA, GA 30005-4325
- **Practice address phone:** (866) 455-5816
- **Mailing address:** 11877 DOUGLAS RD, STE 102-271, ALPHARETTA, GA 30005-4325
- **Mailing address phone:** (866) 455-5816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 036000 | GA | Yes |

## Other

- **Enumeration date:** 08/10/2007
- **Last updated:** 08/13/2007