Organization
INNOVATIVE HEALTH CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL SHENKMAN M.D. (MED DIR)
(866) 455-5816
Entity
Organization
Contact information
Practice address
11877 DOUGLAS RD, STE 102-271, ALPHARETTA, GA 30005-4325
(866) 455-5816
Mailing address
11877 DOUGLAS RD, STE 102-271, ALPHARETTA, GA 30005-4325
(866) 455-5816
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036000
GA
Other
Enumeration date
08/10/2007
Last updated
08/13/2007
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