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Organization

NIMBA INTEGRATIVE PRACTICE LLC

Active
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Organization

NIMBA INTEGRATIVE PRACTICE LLC

Active
Parent organization
NONE
Other names
NIMBA INTEGRATIVE PRACTICE LLC STONE MOUNTAIN
Organization subpart
Yes

Provider details

NPI number
Legal business name
NONE
Authorized official
MRS. ASATA KAMARA APRN ASATA KAMARA DNP (OWNER)
(470) 918-9719
Entity
Organization

Contact information

Practice address
5300 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3154
(470) 918-9719
Mailing address
5300 MEMORIAL DR STE 101, STONE MOUNTAIN, GA 30083-3154

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
04/10/2023
Last updated
10/11/2023
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