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Organization
INNOVATIVE HEALTH CARE INSTITUTE LLC
Active
Organization
INNOVATIVE HEALTH CARE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CSHANYSE AVRIL ALLEN DNP, MSN, RN (CEO)
(706) 705-2033
Entity
Organization
Contact information
Practice address
100 SEAGRAVES DR STE 1, ATHENS, GA 30605-2492
(706) 705-2033
(706) 850-8005
Mailing address
100 SEAGRAVES DR STE 1, ATHENS, GA 30605-2492
(706) 705-2033
(706) 850-8005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN146812
GA
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
08/26/2021
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