# ATLAS INTEGRATIVE MEDICINE AND SPINE CENTER LLC

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

## Provider details

- **NPI number:** 1245579234
- **Authorized official:** THOMAS HUMBER (OWNER)
- **Authorized official phone:** (770) 251-4345

## Contact information

- **Practice address:** 820 EBENEZER CHURCH RD, SHARPSBURG, GA 30277-2073
- **Practice address phone:** (770) 251-4345
- **Practice address fax:** (770) 251-8072
- **Mailing address:** 820 EBENEZER CHURCH RD, SHARPSBURG, GA 30277-2073
- **Mailing address phone:** (770) 251-4345
- **Mailing address fax:** (770) 251-8072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 67600 | GA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | GA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 176824 | GA | — |

## Other

- **Enumeration date:** 02/11/2013
- **Last updated:** 03/26/2014