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Organization
THE M CENTER FOR INTEGRATIVE WELLNESS
Active
Organization
THE M CENTER FOR INTEGRATIVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIA WALTON MD (CEO)
(888) 381-8556
Entity
Organization
Contact information
Practice address
555 SUN VALLEY DR STE C2, ROSWELL, GA 30076-5621
(888) 381-8556
(470) 435-6614
Mailing address
555 SUN VALLEY DR STE C2, ROSWELL, GA 30076-5621
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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