Organization
INTEGRATED HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GIBSON MD (PHYSICIAN)
(404) 289-4815
Entity
Organization
Contact information
Practice address
4150 SNAPFINGER WOODS DR STE 200, DECATUR, GA 30035-3417
(404) 289-4815
(678) 705-8429
Mailing address
4480 S COBB DR SE STE H-302, SMYRNA, GA 30080-6990
(404) 289-4815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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