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Organization

INNOVATIVE MEDICAL, INC.

Active
Other names
Novo Total Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE Y JEON DPT, MPH (CLINIC DIRECTOR)
(770) 988-2779
Entity
Organization

Contact information

Practice address
1300 PEACHTREE INDUSTRIAL BLVD, SUITE 2203, SUWANEE, GA 30024-4539
(770) 988-2779
(678) 730-0229
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD, SUITE 2203, SUWANEE, GA 30024-4539
(770) 988-2779
(678) 730-0229

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
058168
GA

Other

Enumeration date
01/13/2010
Last updated
01/13/2010
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