# INTEGRATIVE PHYSICAL MEDICINE

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

## Provider details

- **NPI number:** 1639092240
- **Authorized official:** MAIRIN JEROME MD (FOUNDER)
- **Authorized official phone:** (770) 852-5551

## Contact information

- **Practice address:** 1819 PEACHTREE RD NE STE 250, ATLANTA, GA 30309-1857
- **Practice address phone:** (770) 852-5551
- **Practice address fax:** (770) 852-8557
- **Mailing address:** 1819 PEACHTREE RD NE STE 250, ATLANTA, GA 30309-1857
- **Mailing address phone:** (770) 852-5551
- **Mailing address fax:** (770) 852-8557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2026
- **Last updated:** 07/31/2026