# INMED CLINICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1609190198
- **Authorized official:** MICHELE MARTIN (CREDENTIALING)
- **Authorized official phone:** (706) 782-0471

## Contact information

- **Practice address:** 563 MOUNTAIN CITY RD, CLAYTON, GA 30525-3072
- **Practice address phone:** (706) 960-9026
- **Practice address fax:** (404) 698-2588
- **Mailing address:** 331 RIDGECREST CIR, CLAYTON, GA 30525-4186
- **Mailing address phone:** (706) 782-0471
- **Mailing address fax:** (404) 698-2588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 02/02/2017