# ADVANCED INTEGRATIVE MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Integrative Medicine LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851884977
- **Authorized official:** SHAWN DESMOND PALLOTTI (ADMINISTRATOR)
- **Authorized official phone:** (540) 775-2250

## Contact information

- **Practice address:** 9305 KINGS HWY, KING GEORGE, VA 22485-3423
- **Practice address phone:** (540) 775-2250
- **Practice address fax:** (540) 775-2448
- **Mailing address:** 9305 KINGS HWY, KING GEORGE, VA 22485-3423
- **Mailing address phone:** (540) 775-2250
- **Mailing address fax:** (540) 775-2448

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2018
- **Last updated:** 06/13/2018