# INTEGRATIVE MEDICAL MANAGEMENT GROUP

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

## Provider details

- **NPI number:** 1548764988
- **Authorized official:** MS. CASSAUNDRA GRAVES (OFFICE MANAGER)
- **Authorized official phone:** (678) 478-4305

## Contact information

- **Practice address:** 710 DACULA RD STE 4A, DACULA, GA 30019-7014
- **Practice address phone:** (678) 478-4305
- **Practice address fax:** (678) 608-3411
- **Mailing address:** 710 DACULA RD STE 4A \#125, DACULA, GA 30019-7014
- **Mailing address phone:** (678) 478-4305
- **Mailing address fax:** (678) 608-3411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2018
- **Last updated:** 03/21/2018