# THE M CENTER FOR INTEGRATIVE WELLNESS

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

## Provider details

- **NPI number:** 1528623774
- **Authorized official:** MAIA WALTON MD (CEO)
- **Authorized official phone:** (888) 381-8556

## Contact information

- **Practice address:** 555 SUN VALLEY DR STE C2, ROSWELL, GA 30076-5621
- **Practice address phone:** (888) 381-8556
- **Practice address fax:** (470) 435-6614
- **Mailing address:** 555 SUN VALLEY DR STE C2, ROSWELL, GA 30076-5621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2019
- **Last updated:** 05/03/2019