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Organization
INTEGRATIVE HEALTH AND WELLNESS
Active
Organization
INTEGRATIVE HEALTH AND WELLNESS
Active
Other names
INTEGRATIVE MEDICAL MANAGEMENT GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSAUNDRA GRAVES (OFFICE MANAGER)
(678) 608-1904
Entity
Organization
Contact information
Practice address
1832 INDEPENDENCE SQ STE D, DUNWOODY, GA 30338-5166
(678) 478-4305
Mailing address
1832 INDEPENDENCE SQ STE D, DUNWOODY, GA 30338-5166
(678) 478-4305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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